Impacted-button-battery-masquerading-as-recurrent-epistaxis-in-an-child

Epistaxis in children is one of the most common referral dealt by an ENT outpatient department . Here we report a case of a 2-year-old girl who presented with complaints of recurrent episodes of epistaxis and discharge from the right nasal cavity since 1 month duration. Endoscopic examination of the right side of nose revealed a button battery impacted between the inferior turbinate and the cartilaginous portion of nasal septum

Oral bag-valve-mask insufflation technique to remove unilateral friable nasal foreign body in emergency department

Nasal foreign body in children is not an uncommon presentation to the Emergency Department. Removal is essential. Many methods of removal exist. Nasal wash technique is advocated mainly in friable foreign bodies. We report the successful use of the oral bag-valve-mask insufflation technique to remove friable facial tissue in the left nose of a 2 year-old girl. We used a pediatric bag-valve-mask with a pop-off pressure relief valve to avoid barotrauma. Pop-off pressure relief valve limits the pressure beyond 30mmHg. Conscious sedation was not required. There were no complications.