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KMID : 0385920090200010130
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Journal of the Korean Society of Emergency Medicine
2009 Volume.20 No. 1 p.130 ~ p.133
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Removal of Visualized Nasal Foreign Bodies with a Clip
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Jang Pyeong-Moon
Cho Young-Soon
Kim Ho-Jung
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Abstract
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Purpose: Nasal foreign bodies in children are often encountered in emergency medicine and treated using
many methods. This study was conducted to describe the benefit of a clip used in the removal of visualized nasal foreign
bodies in the emergency department (ED) and in outpatient settings.
Methods: The charts of all patients who presented to the ED of our hospital with the diagnosis of a “foreign body in the nose”between January 2006 and May 2007 were reviewed. The information recorded included age, the type
of foreign body, the method of extraction, the need for an otolaryngology referral, and complications.
Results: Eighty-two charts were reviewed. The mean patient age was 3 years; 47 patients were girls. The objects in the nose included the following: beans (25 [30.5%]),beads (23 [28.0%]), BB pellets (5 [6.1%]), buttons (4
[4.9%]), toys (4 [4.9%]), rocks (3 [3.7%]), and others. The ED physicians removed foreign bodies from 76 patients
with clips (71 [86.6%]) and forceps (5 [6.1%]). The nasal foreign bodies of six patients were removed using forceps
with the aid of a fiber endoscope by the otolaryngology staff.
Conclusion: A clip with a curved hook is easy to fashion using common ED equipment, and removal of visualized foreign bodies with such a clip is relatively safe without complications.
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KEYWORD
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Device removal, Foreign bodies, Clips
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