in for fiI:snsruraut{:ort a

rfi ufl a qrl n:nilnril,n',r,u-tdu,rrJ

^o

nrJa

^{o ru}

oo nor noru

ⁿ

t6 n

fiI:snsruraut{:ort

Penfill for nasal foreign body removal

in children at Nangrong HosPital

fl

srr-t{ uiurYa'luu,

^vl.u.*

ABSTRACT

Introduction ^Nasal foreign body in children ^are often present at Nangrong ^Hospital Different techniques and equipments of removal are needed depending on _{the R?e}

of

nasal foreign bodY.

To

study

the

result

of

penfill'equipment

of

Orthopedic department' which

not

previously described

in

the

literature.

For nasal ^foreign body removal

in

children.

Method

:

retrospective

chart review of

nasal foreign

body

removal using

Result

"penfill" in

^children

0-12

^years

at

Otolarlmgology department ^at Nangrong hospital, Buriram province

in a

12 month ^period

Elevent patients were identified over

a

1-year

period.

Mean age ^is 3 year 2 months- ^female 5 cases and male 6 cases. Success tall

in

first attempt to remove foreign body were 7 cases (63.63%) and success in second time were

4

cases (36.36%). No complication were ^recorded'

Penfill is the new

choice

of

successful

and safty

equipment for remove nasal foreign body

in

children at Nangrong ^HosPital.

PenIill, wire loop

of

an ear curette, Frazier suction tube

innrJ:saud

' rfjoflnurrnrrutar:

penfill ?iulfluqrJn:niunrunfloun::ln:vgnuov{olr Objective

Conclusion

Key words

UflNAUA

2dnll?19

lilunr:rordr:

ur.JonlooroonernoXnt6n

, riunr:

^fl

nurtio{

⁰ dauu o"u (retrospective) In unr:fiutio4 orJ: vifr riil-: u

rhnorq

0-12 ^-U drrdru6,iu urJomJoouluelrnfr

rinbldrruun1 no

^EUn 1:unururour,::oo d'urainqiSuti

lflutrnr

^{12 tfiou du urirhd 1}

nln4rnll

2s49

- ilfi

³⁰

fiquruu

²⁵⁵⁰

alonll?eu

,

^fi _{rJrurfr

nfilrdraduurlon ooduo{nuovld penfill tunr:torii'rurlon

tr,uuand z ldrio:{rdurt,rl ^{ortrlon no u8n} lr:nu-lurour'ra':

fiu urJ o ntjo oulu:Eu gU n r6nu-nxulu rfin

)d6t-:,6?__

nou'ru

muu

tuouatn IFin LuiuilorJ Luiuyl"ruur

nru mur:nlunr:uOuz

ouiiu

rilfi

^fr'u uri or u

g 16ou

_il't

rrflFruolnr:turaoru .1

grJ

rrlu rdu frunlraoflrurdu':

yrutqfinfiuruffuuov

rfi anrrir

rnr1yil

^.16.1 Tnufi fi u urjonrJ

oolrfu

orq rfl uA u uil onil o olfi'fi ui mraiahifi 8i mfll6'1 fi u urjnnrJoouIrififi:mvirrllriou

rriu

uou rniu

ildtflrln nouuu todn y,louir

uumrmoi

.a-f;'d

nlu Fltu ltfl v []J o Flv{uyt utr N-t

u

olfi

ltu

N nl

vzrl

rff nn"':2fi n

riru

12 drulradaiu urlnnr.Jooufn

A,q^Z

vru fi n o qjluui rr rufi ur o utj o u oq n1n #rYu inferior turbinatel

ni:

o o uy't u't u'tll Iot o o n]J-t ri aufir u

e4=- " 9v - v -Y t u !

? dyr r,r Ft olayl'l Lil [n

nourlll

uill

nuu luu

e]=udu

rur-i onrJ o ol dn

uir}Jtuoqnurniiu

rfi nur n uzu o +?v1,6)

roo n00 n tu?J0ualJnuto fluF}n L! Luu su no 6ru

u d'u u o vur n,

nlrliu,

* u, o

l

virt# rfi nrra N o ^Fr o lJ

v Q 1 r

"6ly- A - -^ lu 0 n rluulu ta Lilaan o1ayi't t1rf,'udurdufrTm [d

),6)'

6u nrruarnu'tu[un]i LatAu ttil

Nnl0o!oonfu

f,uoqjri'ur1o,l"'u14n'tu 6l

odru uju

rirurariufi

fi u url onrJ o ouriufi ^nr o qj o-nr*ruv;iliruu ou fi u

ur-J o n! o

ot

^{n?tlJ fl} 'tlJ'tiotuntty{ o u rt"-tu o u du

ul

onil oou rfi ooqlutjouqil _{nfi il}

n-lrilr.lf,

u rduutnrff

nfiu

zuo}iriru 1 6u1fifinr:6nrfiui6

nr:inur

nnfiuinqqrJn:nflunr:rardu _urlon r.Joouoanuovrynfi nfi rnuuN-tu

1 orjlutti

il:vnoufi'u

rfiotrirJ:vou nrru dr rSqtunr:rol

du urJ o nrj o olriuo a

n

^{ai uii} uyrr rifirir

nr:inur

{ilru16nidrorduuilonr.Joou uirqun no rnioufi o fi'r,rrl 6'd r uyi o! : v q n nitfi fo q o rJ n : nifi fi o qj u dr

:r

nrIil uyr u u o vfi dr r{'ry,i r utun

r:Ifi

^u

ru

^ryuriu

d'u urituCIriuo nr mduIfifinr:yrTruur

oUn:nifilfl tunr:rorduuUonilooraonrriiou 1

^rtiu

1.

wire loop

of

an ear curette r:r ^m rrr r : ndr q rJ n

:niiitflun r:inur

) u qtm

rfi

a':nngur1tilunr:inur

ror f,u urJ

onl

oon

o I n E r n E lr n r 6 n1 6' ^T n u n r

:rir

^nYnrtri rfl urpr rfi o 9tZvv

[rilfionrcruvnfrraf,ouuurnrfin ₁₃

( ;rJii

^ry

c]SalsnlsIujnd Isouatnansa:rnu 45uns ^qssrud

346 iux"ryf u6un"aluu

loauoonqrneilnvYuuup, 11

nu

arqradu

6o

s tJ

z

t6au rflur6n{rarlu

5 nu

uovr6nfr'trru

e nu

l6"1tiqrJn:ni penfill

lunr:iarf,uuilon!nou

o o n uo vti: v ar-ln:ru dr rSEtun r :vr ar ur u ro r fi u ut i n

nl

^o or o o

n

riu u ni nr

:

vi ur uril niu ^r

nn

7 11u (63.63 %) mrur:o ror d u uil o nl n ou16"1unr:yr ur

au

nflsfi

z

^rfl

usiruru 4

11u (g6s6%)

hlfi

(rJ : u:r al n fi o uttin.: ^-rlJy{ ur u-r }J

lunr:rorfi

u utj onl oouoonfiu

3 niu

rfi nrz ou f, u url onrj noutuqlnfi ^yrr

lfirrri rffnnrvuu 9 :ru

rfinrY'rn"rufiuzurnlraqj

211a

uovhjyrunrrs

uyru'l

o

grJd

f

^wire loop

of

an ear curette

{ I t:t

od 22 oa.l,d 2

uiqun'rRu-aohrRu 2550 Penfill for nual forcign body removal in children at Nilgrong Hospiral 347

2. firafiun:vnru

(paper clip)

nri

rYrr

rl

^d ufi rafiu n: s nrru ^(paper

clip)

^rfl ufr'rotjruu ounr: ^d'n ul ^{ou ror} oti nt nld

o giln fi fr":

uovu{fi\jru 1

^fi oql{ir}llr1zihirfi ^nr

!: rTuuil

rirld'lrr ^u drfi uflu nis Dn1,o o n uo v"tri

v 1 v1 a ' dl v i

Ft'rlJUOUnll LnlDl ntul]

tuuqunlil

LunltFrFrvt raflun:v orrr*trirfi nrJ or ulfru rfl uqurh

vurru

45

i---nv

ounl

vnuuu 3 lJflfltlJrlt tlJa-lna1n!0'luuou firafiun:vorru4 lgtJfi z;

Ailfi

2 firaf,ln:vnru

(paper clip)

3.

Frazier suction tube with a Xomed silicone Annshong beveled P.E. tube inside its tip ruuo 4dA niluu ^Dl? o u'l uu o u

n]lfl

u'l u1lJ

il5uu _q n rl? fl n ounl0Jvll.l0u ud? Lu tn nu:vLUUu

il !

g oQv a d

il1 nuu ^L!fl vyl'l L14vlllu0\] n']'l]Jl,{u1u'l}JU0\J tll'l{ylu

o - , dl r -?t

Lunlrnnnu?6qqlJnlil

_q9 Ll4lJ

1

Floan[']01[il

ra u _iglgnfi u rvi' otri rfi nnj: vTutri o u o rr uri fril ?

u frrt.

rJ : v fi u

j

q r.J n : niluri do r ^rYu r,r o''n n r :fr i r n r : rfi

l

I ;^ ) A oQv

fi ufr fi ':fi

lrnflu

^{qv?ir [fi} nrur:o ⁿ nAr: rn] 0nil 0oil

1ed A a r A A

^ : ;

LFl nlJ'l

nuu

u0 ^u

nlflll

nllJu a o duvllJl [']

illluvl

fi'rfirurariruouvio P.E. errfrun'rrun1il1r01u nrrn n du ffiJ dnrJ o o11fi fi

lrniiuljdns

rdouqrnl:uv{u'rur ouru:oulri tnafi uyivr ri

lmm

no ulan rrrriou

iu1ilfioln:nid-unailr

tlufru

erAa

fruntfrtJufrvfrrn:sntu

(paper clip)

, & ) Qv ^',

rvirriu

f,u

nrilr:0lf,

rorAu ul oniloouoonErn qun1d6lun:riiidiu urlonrj0oilriuIil ^nr n uriuunv hifi nr:uou m-dutiouqun rarn rfl udu urj 0nil Nalr

U

)a ,61 r v1v

fi

!nllvi0uFl?utoan

t[uuLu?JouEiln outn [tn

d a C 1y t d -i 1y t

ruFrv{u []rFrr,rdLIJ

ruu

t]Jnuvu'r]Jguv{uLFru0u

fil:

uvr urur ou1 ur o

u

^rirhhi:v

mulruu{unl:

ror du urJ onrj 0oiloon 6u1fi 6urarorjn:niiifi _qU od

rufirfi[:uuururoulu:ou

vil

6o

penfill

(;tlfi

a)

t

gild 3

penfill

iun"ti u6ln"aluu

c]sa'lsntslluJnd lsotuauar6a:rnu 4SunS qssXri

A4,d

6u rfl uor.J _q! n:niuou rrr,run FYdunlrlJnrvn n

y lau y

t[Nvuoflildnuilvno]U

wire

loop

of

an ear

aeQv ^ , t dv vn ;

curette tJl t?J Lil Ln

nlt

^u tu?lunu r{u? ulJ1 nT fl ,l

AA AU

?6n1?2eg

ufl unr: ^{f, nrgrrlory 0} gouil d'$ (retrospective)

U

lrrunr:fruflolnrJ:vifi

_ugq frrJ'rur6nolu 0-12

fl fi

ur fi': u du urj onr-l o outueunfr _gU

urinurfi

uatunu

n

o

^EIJ _9qn1ru?,r u11J-r Nulul ^o u e.uiiu

ri

rfl u rr or

12

tdau rYuuriiufi

1 nin4rnil

25a9

- iufi

30

fiourau

_qsq 2550

lnrurfiurialo#ouaru

ry{n

ulv?

n nl:yiu'tu1}J ral00nn rafoultu [tltytu tfi Fl d

n

0

ul fi

n

^LLd vut ^u-t trl n?1111,{ u'l u1}J?t 0 u tty{yt u

lom no

urdn1unr:uulurrJrorduutjnnilNou

^tr)-F)

00n uuDr?Joudu ltu0n! CIolJvry{u fl oluyr

tunl:

ror du urjonrlNolroon rtlu#auqn rfiuyioturfiou

Qv a 1 ncnv )

,.J1 n

n

LUnll FrlJ U1 fl OU14t0 tlJ tFl LU :vUs r't Nlyt

l#lunr:rariiu

uUdnilooiloon Rriv LLyrrn6ou

;^.9 l

fr rfrnfluernnrr lor fru rrl dnl CIoiloon

flon'l??eEl

-U

Ernnr:6'uil:vfmriol

g9^{o fr'r-l r}

u ulirfi

frr-hu _UU 16 nfi'ur firu f, u ul onl ooutuqun uo vtd penfilt

lunr:rorfi

u uiloniloauaanErnE{n fi"uuunr :a'

11 nu orurqfiu

q

fio g tl 2 tdou

rflurfin{r,rrlu

5 nu unvrfin{tru 6 nu

Ern

r-l:vifiriol

g

onuirrioufi

^qsvlu ttv{fl dIfl

n

^no

^ l vu I e ,

uldn

tn?un1lv'ru'tu'rlJ r0roontnu zuunnl0u

raio(guorfin 3 lru,

^v'{u'ruro

2 :ru, ulrrti

viill a :ru

uov1il1fio.irunr:oouv{u-ru'r}Jro1

aon rnu rflu.l'1u1u 2

:ru

uovIfrfi nlrd'n ttt.j6u

4 a qen

frvflun:vnruilrlf[untr

rot Ar: ttil 0nil oo]Joon

siruru 3 :ru

urililorur:nrorduuUoniloou

1v A 6? ; d

oon Ld 8u Lufr o nfi orrJ'tto rolAu uUonl oon oon1frrdolf, 0".,r,,, drudn s

:ru

16'&3qrJn:ni penfill

lunr:

ror du rr! onl o ouo o n uo vrJ:vfir-l

o cQ

Fr?rlJd'lriE lunrl]ru1u'trJ lor fiu uU nniloor]oon tnuyr'orur:n ror fi u uil onrj oouoanl6'm'u uri

n1:ilu'rullrniuu:n 7 etu

^(63.63%) mrur:n ror du ul onrj oou16'1unr:yl ur ullJ

niufi

2 rfl u siruru 4

Ta

^(36s6%)

Iilfi{Lhu:rulrrfroulfr

n't'rrJv{

ululutunr:

ror fi u ttil onil o orJ o onf, u

g

niu

rfi orzoudu urJonrj oorlluqtrnfiy,ru Ifi uri ffi

nrvuru

^g

:ru

^rff Brri-rfi, ufi uou-, 11, ry

z ztu

lnufiv{uirlurTr-lta r6nvrn nufi f,u urJ on! oou

2 v ot , &

tr,o-

t, i)

LUqLJnU1U IFtU']

lytlUU

^ttJ]J ry!'tUrIULn]r -:^{d U}

ruJonrloouluqlJn

2 f,ru

yliouniuraiofi _au urJonrJnorrfiunit

1 rffn :yaynorraniufilti lunr:rorduuilonlooroon fio a urfi

1s-rs u'ryr) rrfl u []Jo i^.JFl n rllil nnl?e ttfl tnoouyilu t0'1fi u utl o nil o ou o o

n yluirlu,i

r uru frrJ'l rlviur,tu n

11

r-ru fi z :ru flhlliramn:#ru6'nrulou

lunr:rordu ulontjoaroonErnElJn lumouu:n

fi rfi o n oon udlilurn

nrlrrorq

rl"fi

,uo

1ri fiou

frnr:

Packing nasal cavity uor1rjyrlnrtv

rfi o nr o onlunr:td penfill lunr: ror du uil o nrJ o or

dovaetvd-

80n

LuunltyrluFl0nltLul40u zul a n ruoualnlJ

6lv _&

nr:[6arruoolri'uuun 7 itu

$Nerflunr:rir

urlonl:vllrofanrau 4 l'ru

ui

]

od 22 oa)l' 2

urpmFu-aLrfmu 25ao P.nfill for rasal foeiSn body removd in childen ^ar Nu8rcnt HosPilal

uflu{fid I

ttdn0d]uiulldv[1{ar ^o\r

[6nfild

penfill

lunlrrold\]

ffiJNnloorlaonqlnq!n

t

_{rJnn:os

I

uxvrrin'r}J

I t{u]ulf,

tr lrilfiflurururoraon ueu4fiii z

ttfln$n-]lxtviulu'r!'(unr:rar ^{frrl urJ} nnr-loo!aonqrno nt6n

7

I

i a*.rd

^z

e c

a{od t

5

Cru2urCn

349

1Z

6e

ta

rrlg

^uO.!

ueru4ld e uonr:nrr

fir

tietunr:'ld

^penfill

torduu

nnlooraonarno4n tdn

(r) q

o c s

c) 2)

J

orl

t

E ?;33";'37\ i F,.H ='* E qac er= rr'4 =o= =,q E F.E s(cr =

e)

r 15 3 = i $aE E,E ftSil: ='5 e E'E H 5,8 g, j 5**3E.E,.*,";" ;,858.$ = H 5: +€.-#= g= E-g a E, j = s.E.e E,?Ee P'E".=,"8 q,i"1 --' :i F S

Eu.

fi =-'5 "= 3' i 3 E: 5 3 5r 6r fl'f F' $, i" E F E E i' J.e I' j r",= * ts = il- f, "1. = f 1- ; ="a' e)' F E I . 3, ?,.A 5' {."E-.;. F"= 2 : b' >, = = - +F E,; =: = ei+s =, e5'g; E'+q.Ei eEil#"ilaEI 53,Sf,++$5 d.3,=rE,*3'F=*i = 3 *! eS

E

+L= *.&,! e.* 8"5;J i="gB* E*5'+=,._$ BE,E..i=; E,==?== 3,P=, g,Tg.q"AlE'= F'e5,F3"5"3i E": F F"E 3 EiE-j,s =:l g,T: *"=

=,

.r! + -.r "i'f,; - p ! S P *'E A 3 9- j 5:.= 5 3 {gg -=,4: q: " 3iS q 5 d = ; H,- .r, =. 5 cr B_ ee o * +.8 S'=.4 : j Ei.c-l H g J- L *q d E 6'q"= $'E'3,9: *'3 F' Sg: H*; q.E.E."F 4 =; =,+il B.= ?te 4r * B'P = 3, g.B. g 5'5" f, 5. =.='F'5 $ I < ; E; e'.d i'8"3."8 E"= * =; +"*3i'E-i si c; g"Fi H'i = 3'.8 E,+= E q H"F"s B E.+E +e + T"F.-F,=,.*=,9.E^E3s e 6 g E,H'E,5,4 5'=.S3i= aFg,$=E,.; 3,

I E c! 2i 2)

c \

^ce 9 c! :S!- E! J c! Ju. c- t3I ^{2I El)}

z il e EE

aq

p'5

=rlt'r-9e)f

J'j =,lH 3'j

)F-4.oirP

3 3.d.8 *.d, J =-€'-s'5rf J! I s!. '- c.

C

f car F 5- el-

2)

=J5ce(2irF

F\-rF-=-zJ

s5 2l i E

B :ri" * -! ", 'a a-

- LkJ Z 5

e) 1" ai "-Jl .. J :,

il6-= e "'i

='.

e) ir.s = F *t - =

.-,r[

9o 5 :i e:'E b.d.i.

:g i" -i ^r- Pr 'i,

:?ri-e-

= ", "," P) F, =o-i."-ltrJrZ6.'

H. I sq e =

CL EJEI.-,r9!

-cl d l 9 l c) 2i!, c- l 2) c)

r

e) cl

rt

! t

F I F 9r P -C 5i -cl t'".

<

? .-, d + e)

*Dl

:l r =*

2r

sr4 jel z.t E',i F --3

=

9{(a_cEEe":&-_s =

e 2l, = = ( E Er tr

zr Ctic)--B*Jcrt'J

5 =: F.E i E" g & 5 "e

E

;.e'"8':"E B-E.E #iA Ag:*'=,JEEiESl 4 3u9 5- = =".=' 3 i ;

&',ce

-B' 5 u: F E1 fl': g. = 5 :

(e < El = e:' i" H= J I =

ztZdJEr99c=r<"r g g,H-.E'& g, E d P -

B.

3" d = D = F = 2t- (' -

!

E( f

cgt

";" .-,) = \ a- f -?( s :"'e E'+-E"E" 4, H fl' :

c!d=Ef[=**]"cl

;,%='E,.F'E 2'=a 3 z".q= ts!! € = 4 i 3

2rr. _?e .J J. ;9(9(.iaCes:9'lzr3"

= c

'o d!.

ct

.c) c_ l 5 r! ^e)

:,

:9. 2)' ce 5 J 2I 3

q d r 2l ={ t't.

ztr.

=i" =

:r

e * i ..1 - Fr o- ='el

''tl

U5X -e --s6''E:=-S H 5 ; x '3 3 ? "?"'=

aG3 l;iirF2l J E :i' c:.= El r p€

4A= "H55'jS" g,fF g. l*q;i

F e) -ie f 9t !r 2x zJP

ii6= d)"gt+;A

d o J 6'=!:" d -1

z a e rCE- E " ii P "l 6i E"F: P =.;;

<rr=.ra=C- :(

2.r s c q E =

d_

g".r rL 3 -= AL E

-r

)=)-:-<. B ="i E = jiq 6 d #8, S s 9"4 { d P e 3.= j;5

2l4f,t'=):jt=!

Ud zz au'iufr z

uJqumnu-eohlRU 2550 Penfill for nasal foreign body removal in chitdren at Nmgrong HosPital 351

ron6n?d'l$a$

1.

Kalan A,Tariq M.Foreign bodies

in

the nasal cavities

:

a comPrehensive review

of

the aetiology, diagnostic pointers,and therapeutic measures.Postgrad

Med I

2000

;

^{76 :484-7}

Chan TC,Uferg J, ^Harrigan RA, Vilke

GM : Nasal foreign body

removal.

J ^Emerg Med ²⁰⁰⁴ May

;

^{26 (4) : M1.-5} McMaster

WC :

Removal

of

^foreign

body from the

nose. JAMA ^{1970 Sep} 14

:213

^{(11) 190s}

Hendrick

]G :

Another solution

for

the foreign body

in

the nose problem. ^Ear Nose Throat

I

^{1976 Aug}

;

³⁹⁵

Morris MS : New

device

for

^foreign

body removal. Laryngoscope 1984

|ul

^;

94 (7)

:

980

Balbani APS, Sanchez TG, Butugan O,

et al. Ear and nose foreign

body

removal in children. Int ]

^Pediatr

OtorhinolarSmgol 1998

;

46 :37-42 Chan TC. Ufberg

],

Harrigan RA, Milke

GM : Nasal foreign body

^removal.

J ^Emerg Med 2004 May

:

²⁶

$

): ^a41.-5 Backlin SA : Positive-pressure technique

for nasal foreign body removal

in children.

Ann

Emerg

Med

1995

Apr

;

25

(4):

554-5

Kadish

HA,

Comeli

HM :

Removal of nasal foreign bodies

in the

pediatric population.

Am ]

^Emerg

Med

¹⁹⁹⁷

Ian

;

15 (1)

:

54-6 9.