How We Do It: The Hickey Technique for Removing A Foreign Object from the Nasal Cavity of A Child

Abstract

The removal of foreign bodies from the nose is a common task for emergency departments and otolaryngologists. It is most common in children and those with learning difficulties [1,2]. Intranasal foreign bodies are often benign but can cause nasal obstruction and irritation if not treated. Certain objects, such as button batteries and paired batteries, are locally destructive [3]. Management of foreign bodies generally starts with non-invasive methods such as positive pressure techniques, through instrumental removal and finally as a last resort to removal under a general anaesthetic [1,3]. Because of the cost and increased risk associated with a latter, there is a clear benefit to removing objects without recourse to theatre; but this can be difficult if the patient is an uncooperative child.