Ar. Douglas, USE OF NEBULIZED ADRENALINE TO AID EXPULSION OF INTRANASAL FOREIGN-BODIES IN CHILDREN, Journal of Laryngology and Otology, 110(6), 1996, pp. 559-560
Foreign bodies in the noses of children may often be expelled by simpl
e nose blowing. Success of this manoeuvre depends on how firmly the ob
ject is lodged, and on the co-operation and skill of the child. Attemp
ts at direct removal using instruments frequently result in the patien
t becoming distressed and resort to general anaesthesia is sometimes r
equired. This short communication describes a series of cases in which
nebulized adrenaline helped loosen firmly impacted foreign bodies, th
ereby facilitating removal, minimizing upset for the child, and avoidi
ng anaesthetic risk.