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Sunday, 10 October 2010

The Science of Nose-Picking

Posted on 13:03 by Unknown
Most everybody does it whether they admit it or not, both in kids and adults. In fact, according to one research survey, people do it about 4 times a day. In 7.6%, they do it >20 times a day!

Nose-picking, also known as rhinotillexomania in medical-speak, generally is a benign, sedentary (and private) solo activity, but when excessive, can lead to a number of medical problems including nosebleeds (25% of nose-pickers), septal perforation, staph infections, etc. In one extreme case, it even led to a self-inflicted ethmoidectomy (sinus surgery)!

Though most people pick their nose with their finger and use their fingernail to "dig" the golden nugget out, it is recommended to avoid use of the nail due to the danger of causing mucosal trauma (just like when itching the eye, use of the fingernail is not ideal). Using a saline nasal spray or saline flushes can help soften as well as minimize nasal crusting accumulation and enable one to "blow" the nasal boogers out. Humidification, especially when the air is cool and dry, is important to prevent hard nasal boogers from occurring in the first place.  Nasal emollients like ponaris are also quite helpful as a preventative measure.

Now, it is a well-accepted fact that ENT physicians are the experts in removing unwanted nasal snot. So what's our secret?

Beyond our 5 years of surgical training, we have fancy equipment in order to obtain optimal visualization of nasal cavity. Use of a nasal speculum as shown below provides direct visualization of the entrance of the nose and suffices in most situations.

However, we are also skilled in the use of nasal endoscopic equipment to examine harder to visualize parts of the nasal cavity.


With visualization, we have at our disposal a large array of equipment that can be used for removal/retrieval. Our workhorse tool is the bayonet forcep. This tool is ideal for the hard nasal crusting in the front part of the nasal cavity.


When the booger is farther back, rather than using bayonet forceps, a tool with forceps only at the tip is utilized (ethmoid forceps). The neato thing with this instrument is that the tip comes in all sorts of different sizes and angles in order to reach into any part of a person's nose!


When the snot is more mucoid rather than hard, a suction device (frasier tip) can be used instead.


So, that's probably more information than you ever wanted to know about boogers, but there you have it!

References:
A preliminary survey of rhinotillexomania in an adolescent sample. J Clin Psychiatry. 2001 Jun;62(6):426-31.

Rhinotillexomania: psychiatric disorder or habit? J Clin Psychiatry. 1995 Feb;56(2):56-9.

Self-induced ethmoidectomy from rhinotillexomania. AJNR Am J Neuroradiol. 1997 Nov-Dec;18(10):1949-50.

Nose picking and nasal carriage of Staphylococcus aureus. Infect Control Hosp Epidemiol. 2006 Aug;27(8):863-7. Epub 2006 Jul 20.
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  • prilosec
  • primer
  • problem
  • problems
  • procedure
  • process
  • professional
  • propel
  • protein kinase
  • provider
  • public
  • publication
  • puck
  • pulsatile
  • pumpkin
  • punishment
  • purchase
  • purulent
  • pus
  • puzzle
  • pylori
  • quickly
  • quickmark
  • r. kelly
  • radiation
  • radio
  • radioactive
  • radioactivity
  • radiological
  • radiology
  • raft
  • ragweed
  • random
  • rapid
  • raspy
  • RAST
  • reaction
  • reader
  • real-time
  • rebound
  • reckitt
  • record
  • recording
  • records
  • recurrent
  • red eyes
  • reduction
  • referral
  • reflux
  • regurgitation
  • rehm
  • removal
  • renovation
  • renovations
  • repair
  • repellant
  • replacement
  • reporter
  • research
  • residency
  • resident
  • resistance
  • response
  • resurface
  • resurfacing
  • review
  • rhinitis
  • rhinoplasty
  • richmond
  • right
  • ringing
  • rinse
  • risk
  • robert
  • robot
  • robotic
  • rock
  • roger
  • roof
  • room
  • rotating
  • routine
  • rubber
  • runny nose
  • rupture
  • ryan
  • safe
  • sale
  • saline
  • saliva
  • salivary stone
  • saltwater
  • santa claus
  • scan
  • scans
  • scar
  • scheduling
  • science
  • scientist
  • SCIT
  • scopolamine
  • scramble
  • scratch
  • screening
  • SD
  • seafood
  • search
  • seasonal
  • seaweed
  • secondhand
  • secure
  • security
  • sedated
  • sedation
  • self-pay
  • sensory
  • sepsis
  • septal
  • septo
  • septoplasty
  • septum
  • sermo
  • service
  • set
  • severe
  • sex
  • shampoo
  • shape
  • shark
  • shenandoah university
  • shop
  • shortness of breath
  • shot
  • shots
  • show
  • shrimp
  • sialadenitis
  • sialendoscopy
  • sialoadenitis
  • sickness
  • side
  • side effect
  • silent
  • silver nitrate
  • singer
  • singing
  • singing cat
  • singulair
  • singultus
  • sinuneb
  • sinuplasty
  • sinus
  • sinus fracture
  • sinus infection
  • sinus lift
  • sinus surgery
  • sinusitis
  • skating
  • skin
  • skin cancer
  • skull
  • sleep
  • sleep disorder
  • SLIT
  • sluder
  • small
  • smartphone
  • smell
  • smoke
  • smoking
  • sms
  • sneeze
  • sneezing
  • snore
  • snoring
  • snot
  • snotty nose
  • social
  • social media
  • social networking
  • soda
  • sodium
  • soft
  • song
  • sore
  • sore throat
  • sour
  • spa
  • spam
  • spanish
  • spasmodic
  • spasmodic dypshonia
  • spasmodic dysphonia
  • spasms
  • special
  • specialist
  • speech
  • speech therapy
  • spinal
  • spinning
  • spit
  • splints
  • split tube
  • spray
  • spur
  • ssnhl
  • staph
  • starvation
  • stat
  • station
  • stem
  • stereoisomer
  • sterile
  • steroid
  • steroids
  • sticky
  • stink
  • stone
  • stones
  • stops
  • storybooks
  • strange
  • strep
  • strep throat
  • stridor
  • strobe
  • stroboscopy
  • stroke
  • stuck
  • stud
  • student
  • study
  • stuffed animals
  • stuttering
  • sublingual
  • submandibular
  • submaxillary
  • sudden
  • sudden hearing loss
  • sun
  • sunblock
  • sunscreen
  • sunshine
  • superbill
  • superbowl
  • superbug
  • support
  • surgeon
  • surgery
  • surgical
  • survey
  • suture
  • swallow
  • swallowing
  • swelling
  • sword
  • symbicort
  • symphony
  • symptom
  • symptoms
  • syndrome
  • T-tube
  • tablet
  • talk
  • talking
  • tall
  • target
  • taste
  • tea
  • teacher
  • technology
  • teen
  • teenager
  • teeth
  • television
  • temperature
  • terrorism
  • terrorist
  • test
  • testing
  • tests
  • text messaging
  • the doctors
  • the onion
  • theory
  • therapy
  • thick
  • throat
  • throat cancer
  • throat clearing
  • throat-clearing
  • thrombosis
  • thrombus
  • throwing
  • thyroid
  • thyroidectomy
  • tia
  • tic
  • tic cough
  • tick
  • tilt
  • time
  • times
  • tinnitus
  • tiny
  • Tionne
  • TLC
  • TMJ
  • tobacco
  • TOCPM
  • today
  • tongue
  • tonsil
  • tonsil stones
  • tonsillectomy
  • tonsilliits
  • tonsillitis
  • tonsilloliths
  • tonsillotomy
  • tonsilolith
  • tonsiloliths
  • tony
  • tooth
  • tooth pain
  • top
  • topical
  • TORD
  • torres
  • tors
  • torticollis
  • tour
  • toxin
  • toyota
  • trach
  • tracheostomy
  • training
  • trans
  • translation
  • transmedics
  • transmission
  • transplant
  • transplantation
  • transportation
  • trauma
  • treating
  • treatment
  • tremor
  • trend
  • triangle
  • trombone
  • trouble
  • tube
  • tubes
  • tucci
  • tumor
  • turbinate coblation
  • turbinate hypertrophy
  • turbinate reduction
  • turning
  • tutorial
  • TV
  • tween
  • tweet
  • twitching
  • twitter
  • two
  • tylenol
  • tympanic
  • type
  • ulcer
  • ulpa
  • ulrich
  • ultrasound
  • unable
  • unclog
  • under
  • uninsured
  • united kingdom
  • university
  • Update
  • upper
  • upper respiratory infection
  • uppp
  • urgent
  • URI
  • urine
  • urticaria
  • usa
  • USA today
  • uva
  • uvula
  • uvulectomy
  • uvulopalatopharyngoplasty
  • vaccination
  • vaccine
  • vagal neuropathy
  • vascular
  • vasomotor
  • vasomotor rhinnitis
  • vcd
  • ventilation
  • versus
  • vertigo
  • ves
  • vessel
  • viagra
  • vibration
  • video
  • viral
  • virginia
  • virus
  • viruses
  • vit d
  • vitamin
  • vitamin A
  • vitamin d
  • vivosonic
  • vlog
  • vocal
  • vocal cord
  • vocal cord dysfunction
  • vocal cord paralysis
  • vocal cord paresis
  • vocal cords
  • vocal process
  • voice
  • voice therapy
  • voicebox
  • voicelift
  • volume
  • vomit
  • vs
  • wait
  • waiting
  • wall
  • wall street journal
  • warm
  • warrenton
  • washes
  • washington
  • washington dc
  • washington post
  • water
  • watkins
  • wax
  • wearable
  • web
  • web 2.0
  • webapp
  • Website
  • Website Update
  • wedge
  • weight gain
  • whale
  • what to do
  • wheezing
  • where
  • whisperer
  • whispering
  • white
  • who
  • whooping
  • wierd
  • wifi
  • will.i.am
  • wind
  • windows 7
  • winter
  • wire
  • wireless
  • withdrawal
  • without
  • woman
  • word
  • world
  • world voice day
  • world's
  • worlds
  • wound center
  • wp
  • wrestling
  • wrong
  • wsj
  • x-ray
  • xeomin
  • xray
  • xylitol
  • xyzal
  • youtube
  • zenker's
  • zenkers
  • zeta
  • zicam
  • zinc
  • zyrtec

Blog Archive

  • ►  2011 (190)
    • ►  September (26)
    • ►  August (22)
    • ►  July (20)
    • ►  June (15)
    • ►  May (10)
    • ►  April (18)
    • ►  March (12)
    • ►  February (33)
    • ►  January (34)
  • ▼  2010 (267)
    • ►  December (23)
    • ►  November (18)
    • ▼  October (32)
      • The Man With the World's Largest Mouth!
      • What is Vocal Cord Stroboscopy?
      • Laying on Right Side Worsens Acid Reflux!
      • New Video Produced on Using MediTech EMR on the iPad!
      • New Video Produced on How/What a Normal Swallow Lo...
      • NCIS Character Tony DiNozzo Gets Acute Laryngitis
      • A New Treatment for Meniere's Disease!
      • Pediatric ENT Care of Warrenton, Virginia (Fauquie...
      • Fauquier Hospital MediTech Now Accessible on the M...
      • Being a Hairdresser Can Destroy Your Nose!
      • There are FOUR Different Types of Botox Available ...
      • The PERFECTLY Shaped Human Ear
      • Botox Approved for Migraine Headaches in the Unite...
      • UPDATE #2: iPad and MediTech Electronic Medical / ...
      • New Video Created on Intra-Tympanic Steroid Inject...
      • New Video Uploaded on Ear Tubes
      • The Science of Nose-Picking
      • Research on Sword Swallowing and Its Side Effects
      • Research Demonstrating How to Effectively Collect ...
      • Gaviscon Advance for Non-Acid Laryngopharyngeal Re...
      • INOVA Health System ER Wait Times iPhone App
      • Nurses Followed by Doctors "Need" Coffee the Most ...
      • Botox for "Sale" Due to Market Influences of Suppl...
      • Treatment for Hiccups Based on Science
      • Sleep Apnea Can Mimic Dementia
      • CPAP Masks Causes Facial Changes With Time
      • Cat With Vocal Cord Condition Results In A Singing...
      • Loud Noises Can Cause Heart Problems (Not Just Hea...
      • Fauquier ENT YouTube Channel Ranked As One of the ...
      • Sinus X-Rays Are Worthless
      • NPR on Endoscopic Sinus Surgery
      • New Video Uploaded on Earwax Removal Under the Mic...
    • ►  September (30)
    • ►  August (35)
    • ►  July (16)
    • ►  June (27)
    • ►  May (22)
    • ►  April (27)
    • ►  March (11)
    • ►  February (13)
    • ►  January (13)
  • ►  2009 (43)
    • ►  December (11)
    • ►  November (13)
    • ►  October (19)
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