• Risa Kawaguchi, Satoshi Matsui, Takuro Hayashi, Hirokazu Takei, Naoko Tanizawa, Yasuhiro Ohnishi, Tomohiro Sameshima, Kousuke Miyawaki, Takuma Henry Yoshii, and Ryojiro Tanaka.
• From the Department of Emergency and General Medicine, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
• Pediatr Emerg Care. 2022 Oct 1; 38 (10): e1606e1612e1606-e1612.

ObjectivesRemoval of nasal foreign bodies in children should be completed as few numbers of times as possible to reduce the burden on the child. This study aimed to reveal the characteristics of pediatric nasal foreign body cases that required multiple removal procedure and to investigate the appropriate removal method for each shape of foreign body.MethodsWe retrospectively reviewed patients who visited a pediatric emergency department because of nasal foreign body from November 1, 2018, to October 31, 2020. We compared the characteristics of patients, foreign bodies, and treatment between the success and failure groups in the first removal procedure. Moreover, we described the detail of patients in the failure group. We also showed final successful removal methods according to the shape of the foreign bodies.ResultsWe included 104 children in our analysis. Between the success and failure groups in the first removal procedure, there was no statistically significant difference in the characteristics of patients and foreign bodies but a significant difference in the removal method ( P < 0.001). In the failure groups, the most frequent number of times required for removal is 2 and the most common methods in the first removal procedure was the parent's kiss, most of which were performed on spherical foreign bodies in younger children, Finally, only 7 cases (6.7%) failed to remove the foreign body. According to the shape of the foreign bodies, the percentage of forceps and clamps used for successful removal was high in every shape.ConclusionsThere was a significant difference in the removal method between the success and failure groups in the first removal procedure, but finally, most foreign bodies were removed by emergency physicians. Therefore, further research is needed to determine the appropriate removal method for each patient and foreign body.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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