Nose whistles, possibly with different sound producing mechanisms, are used traditionally by various South American indigenous groups in the Amazon rainforest, such as the Nambikwara.
While representing fertility or war by some groups within the Nambikwara, the nose flute ("ta tãu sư" in Nambikwaran) was not used as a ritual instrument, and was more commonly a children's toy.
[1] The Piaroa by contrast used the instrument ("Chuvo" in Wötʰïhä tivene) alongside other flutes in ritual situations, where it represented masculinity and was played during wartime.
[1] However, a clear connection between the nose whistles used by South American indigenous and the models described in this article, in terms of working principles and cultural transmission, has not been fully established.
[2] Today, nose whistles are often sold as children's novelties and are made of plastic, although enthusiasts use techniques to modify instruments for easier use by adults, as well as better sound.