Endoscopic Management of Foreign Body Nose Removal with Self Fabricated Blunt Hooks: An Experience of 1156 Cases

Nasal foreign bodies is common pediatric emergency in otorhinolaryngology. Sometimes these may get dislodged in the airways which may prove catastrophic. Aim: To analyzed the age, sex, side of nose, nature of foreign bodies and complications in pediatric population in India. Material & Methods: 1156 cases of nasal foreign bodies removed endoscopically in age group of 1-14 years in the years 2001 to 2014 were evaluated according to the parameter related above. Two self-fabricated simple and atraumatic nasal foreign body hooks were used for removal of foreign bodies. Results: We observed higher incidence of foreign bodies in 1-4 years age group, inorganic foreign bodies (601) being more common than organic foreign bodies (555). Minor complications like momentary nasal bleeding due to laceration of nasal mucosa were observed in very few cases. Conclusion: Nasal endoscopy is best technique for removal of foreign bodies which is very quick, safe, less traumatic and site is well visualized. Foreign body hooks used by us are economical and atraumatic. Any Otorhinolaryngologist can make these hooks in his/ her clinic