Nelson Textbook of Pediatrics 22nd Edition | Epidemiology (peak 1-3 years), clinical presentation (unilateral foul discharge, epistaxis, bromhidrosis), dangerous objects (button batteries, magnets, organic matter), removal techniques (positive pressure, mother's kiss, Katz catheter, forceps), complications (septal perforation, aspiration, toxic shock), and prevention.
🌐 paeds.online — Pakistan's Pediatric Platform| Object Type | Preferred Removal Method | Urgency |
|---|---|---|
| Round/smooth object (bead, pea) | Positive pressure (mother's kiss), Katz catheter | Routine |
| Disk battery | Immediate ENT removal, saline irrigation | EMERGENCY (hours) |
| Magnet (rare) | ENT removal, avoid multiple magnets | Emergency (perforation risk) |
| Organic matter (bean, popcorn) | Forceps or hook (avoid irrigation → swelling) | Routine |
| Paper/wad | Forceps, suction | Routine |