A case series of button batteries as nasal foreign bodies among children

Abstract

Foreign bodies are a common occurrence in children that may be either accidental or self-induced as a matter of habit. Various materials have been reported as foreign bodies like metal, plastic toy parts, food matters, etc. Button batteries have been reported as foreign bodies in the nose and are especially relevant, due to their early chemical disintegration in contact with mucosal surface; hence, need emergency surgical intervention to avoid complications like septal necrosis and perforation. Here, we report four cases of button batteries in the nose at various stages of presentation with their sequelae along with a review of literature.

Diagnosis and management of radio opaque nasal foreign bodies in children

“…All the 10 patients' foreign body prompt removal was done using 0 degree nasal endoscope, hence we did not encounter any serious complication, similar to study by Bose et al 15 …”

Button battery foreign body among children: a case series

“…With the increasing use of electronic gadgets at home, the use of button batteries has increased in the recent years, and their use is a routine affair in almost every household. 10 Those who fail to read history are destined to suffer the repetition of his mistakes. Alessandro Giuseppe Antonio Anastasio Volta, an Italian physicist, chemist, and a pioneer of electricity and power is credited as the inventor of the electric battery.…”

Diagnosis dan Penatalaksanaan Benda Asing Baterai Kancing pada Kavum Nasi

“…Faktor lain yang berperan penting dalam terjadinya komplikasi adalah waktu atau lamanya benda asing berada dalam kavum nasi. [9][10][11][12][13][14] Loh et al 10 melaporkan bahwa 4 dari 6 pasien dengan baterai kancing di hidung mengalami perforasi septum. Waktu tercepat terjadinya perforasi septum adalah 7 jam.…”

“…Teori lain mengatakan nekrosis terjadi karena baterai yang tertanam pada hidung dapat menyebabkan tekanan sehingga terjadi iskemia jaringan sehingga timbul nekrosis. [9][10][11][12][13][14] Kerusakan yang terjadi pada mukosa hidung yang disebabkan baterai kancing dapat berupa nekrosis mukosa hidung terlokalisir, perforasi septum, selulitis fasial dan nekrosis dinding lateral hidung. 4,10 Pada kasus ini, jaringan nekrotik terutama ditemukan pada septum nasi dengan perubahan warna juga terlihat pada sisi septum nasi kontralateral disebabkan sisi anoda baterai menempel pada septum nasi.…”