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Editor,—We wish to congratulate the authors on the much overdue review of intranasal foreign bodies, which we read with interest.1
Kalan and Tariq1 and Davies and Benger2 have described application of local anaesthetic to the nasal passage by spraying it with 4% lignocaine (lidocaine) solution. Our experience shows that this method is very effective but makes the already apprehensive child more frightened. We wish to share our experience of the application of 4% lignocaine (lidocaine) by a more pleasant method.
After confirming the presence and the nature of the foreign body we explain the following procedure to the parent. The anaesthetic liquid at the end of the cotton bud (Q-tip) should be allowed to run off the bud into the nasal passage and the bud should not be inserted into nose.
We spray a good size drop of standard 4% lignocaine (lidocaine) solution on to the end of a cotton bud. Then with the child lying down we let the parent install the same into the side of the appropriate external nare under direct medical supervision. This effectively anaesthetises the nasal passage and aids removal. This method of local anaesthetic application does not upset either the child or the parent.
This successful method of effective application of local anaesthetic was acceptable to the child and appreciated by the parents.