If the foreign body can be easily visualised, there is a very simple technique that can be tried to expel the foreign body. Unfortunately, this technique, which is referred to as the 'kissing technique', is not very well known.

The 'kissing technique'

The benefit of this technique is that the parent or carer does all the work, and essentially the child is given a big kiss!

Step 1: The child sits on the parent's or carer's lap sideways, with the affected nostril against the parent's/carer's chest. One small tip is to have some tissue handy to catch the offending item (or anything else expelled from the nose!).

Step 2: The parent or carer occludes the unaffected nostril with their finger.

Step 3: The parent or carer seals their mouth over the child's mouth and delivers a short, sharp puff for approximately one second.

The force of the air going up through the nasopharynx should force the foreign body Out through the nostril. Often the first 'kiss' may dislodge the foreign body and a second 'kiss' may be required to expel it completely from the nose.

If unsuccessful after two kisses, you should proceed to a OP or A&E department for assessment, as further intervention may be needed.

Although this technique describes a first aid procedure for a child, the same principles can be applied to adults. Choose your 'kisser' wisely!