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Area of Science:

  • Otolaryngology
  • Paediatric Emergency Medicine

Background:

  • Intranasal foreign bodies in children typically require emergency removal.
  • Management of uncooperative children with dissolvable foreign bodies presents a clinical dilemma.
  • The efficacy of a
  • watch and wait
  • strategy for such cases is uncertain.

Purpose of the Study:

  • To determine the dissolution time of common sweets within the nasal cavity.
  • To inform clinical decision-making regarding paediatric intranasal foreign bodies.

Main Methods:

  • Five popular UK sweets were placed in the nasal cavity of a healthy adult male volunteer.
  • The time taken for complete dissolution of each sweet was recorded.

Main Results:

  • All five tested sweets completely dissolved within 60 minutes.
  • This indicates rapid dissolution of common confectionery in the nasal environment.

Conclusions:

  • A
  • watch and wait
  • approach may be a viable alternative to immediate removal for certain paediatric intranasal foreign bodies, specifically sugar or chocolate-based sweets.
  • Clinical certainty regarding the nature of the foreign body is crucial for implementing this strategy safely.