Binky Bites and Other Oronasal Pressure Injuries

Pediatr Emerg Care. 2020 Sep;36(9):e530-e533. doi: 10.1097/PEC.0000000000001097.


Initial examination and exploration of childhood injuries may not lead to an obvious explanation of abuse. Although abusive oronasal injuries have been described, ones including nasal destruction are rare. We describe 4 children abused using implements that ultimately were thought to have caused significant nasal tissue destruction. In 2 of the cases, a forced pacifier placement was implicated in causing pressure injuries. In the other 2 cases, gags were part of the children's injuries. All 4 children had other findings of abuse and neglect.

Publication types

  • Case Reports

MeSH terms

  • Burns* / diagnosis
  • Child Abuse* / diagnosis
  • Child, Preschool
  • Ear, External* / injuries
  • Female
  • Humans
  • Infant
  • Lip* / injuries
  • Nose* / injuries
  • Pacifiers* / adverse effects
  • Pressure Ulcer* / diagnosis
  • Pressure Ulcer* / etiology