Nasal foreign bodies are a common problem in children. Various techniques h
ave been described for removing the offending articles. Positive pressure t
echniques have long been described, and have many potential advantages, but
are not yet in widespread use. The aim of this study was to evaluate the e
fficacy, safety and acceptability of a technique of mouth-to-mouth blowing.
Of 19 children with intranasal foreign bodies, the technique was successfu
l in 15 (79 per cent). The procedure caused little or no distress to the ch
ild, and no complications were encountered. All parents found the technique
acceptable. This technique for nasal foreign body removal is, as far as we
are aware, the first to be subjected to any prospective evaluation of effe
ctiveness. We suggest that it should be used as the first line management f
or removing nasal foreign bodies in young children.