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Research

Efficacy and safety of the “mother’s kiss” technique: a systematic review of case reports and case series

Stephanie Cook, Martin Burton and Paul Glasziou
CMAJ November 20, 2012 184 (17) E904-E912; DOI: https://doi.org/10.1503/cmaj.111864
Stephanie Cook
From Buxted Medical Centre (Cook), Buxted, UK; the Oxford University Hospitals National Health Service Trust (Burton), the UK Cochrane Centre (Burton) and the Ear, Nose and Throat Department (Burton), John Radcliffe Hospital, Oxford, UK; and the Centre for Research in Evidence-Based Practice (Glasziou), Bond University, Gold Coast, Australia
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Martin Burton
From Buxted Medical Centre (Cook), Buxted, UK; the Oxford University Hospitals National Health Service Trust (Burton), the UK Cochrane Centre (Burton) and the Ear, Nose and Throat Department (Burton), John Radcliffe Hospital, Oxford, UK; and the Centre for Research in Evidence-Based Practice (Glasziou), Bond University, Gold Coast, Australia
DM
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Paul Glasziou
From Buxted Medical Centre (Cook), Buxted, UK; the Oxford University Hospitals National Health Service Trust (Burton), the UK Cochrane Centre (Burton) and the Ear, Nose and Throat Department (Burton), John Radcliffe Hospital, Oxford, UK; and the Centre for Research in Evidence-Based Practice (Glasziou), Bond University, Gold Coast, Australia
PhD
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Abstract

Background: Foreign bodies lodged in the nasal cavity are a common problem in children, and their removal can be challenging. The published studies relating to the “mother’s kiss” all take the form of case reports and case series. We sought to assess the efficacy and safety of this technique.

Methods: We performed a comprehensive search of the Cochrane library, MEDLINE, CINAHL, Embase, AMED Complementary and Allied Medicine and the British Nursing Index for relevant articles. We restricted the results to only those studies involving humans. In addition, we checked the references of relevant studies to identify further possibly relevant studies. We also checked current controlled trials registers and the World Health Organization search portal. Our primary outcome measures were the successful extraction of the foreign object from the nasal cavity and any reported adverse effects. We assessed the included studies for factors that might predict the chance of success of the technique. We assessed the validity of each study using the Newcastle–Ottawa scale.

Results: Eight relevant published articles met our inclusion criteria. The overall success rate for all of the case series was 59.9% (91/152). No adverse effects were reported.

Interpretation: Evidence from case reports and case series suggests that the mother’s kiss technique is a useful and safe first-line option for the removal of foreign bodies from the nasal cavities of children.

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Canadian Medical Association Journal: 184 (17)
CMAJ
Vol. 184, Issue 17
20 Nov 2012
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Efficacy and safety of the “mother’s kiss” technique: a systematic review of case reports and case series
Stephanie Cook, Martin Burton, Paul Glasziou
CMAJ Nov 2012, 184 (17) E904-E912; DOI: 10.1503/cmaj.111864

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Efficacy and safety of the “mother’s kiss” technique: a systematic review of case reports and case series
Stephanie Cook, Martin Burton, Paul Glasziou
CMAJ Nov 2012, 184 (17) E904-E912; DOI: 10.1503/cmaj.111864
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