Bilateral vocal cord paralysis caused by accidental button battery ingestion in children: A case report and literature review

Button battery ingestion in pediatric populations is a common occurrence with severe sequelae. Multiple case reports have established the occurrence of death, fistula formation, mucosal erosion, esophageal perforation, and bleeding post-ingestion of button batteries. However, there is a gap in the literature on the occurrence of bilateral vocal cord paralysis post-lithium battery ingestion. We present a case in which a 12-month-old male developed bilateral vocal cord paralysis following ingestion of a button battery. We compare our case to eleven other reports that exist in the literature based on age, sex, time until removal, clinical presentation, day upon which vocal cord paralysis developed, anatomic location, and post-operative course. We conclude that bilateral vocal cord paralysis is a time-sensitive complication which requires prompt diagnosis. Any child with stridor following button battery ingestion should undergo consultation with pediatric otolaryngology immediately. In addition, long-term follow-up is necessary to evaluate return of normal vocal cord function.

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Bilateral vocal cord paralysis in Miller Fisher syndrome/Guillain-Barre overlap syndrome and a review of previous case series

BMJ Case Reports ◽

10.1136/bcr-2020-240386 ◽

2021 ◽

Vol 14 (1) ◽

pp. e240386

Author(s):

Jeeyune Bahk ◽

Wanding Yang ◽

Jonathan Fishman

Keyword(s):

Vocal Cord ◽

Vocal Cord Paralysis ◽

Case Reports ◽

Case Series ◽

Overlap Syndrome ◽

Miller Fisher Syndrome ◽

Bilateral Vocal Cord Paralysis ◽

Fisher Syndrome ◽

Rare Manifestation ◽

Guillain Barré

Miller Fisher syndrome (MFS), an acute demyelinating neuropathy, is characterised by a triad of areflexia, ataxia and ophthalmoplegia. It is the most common variant of Guillain-Barre Syndrome (GBS). In about 5.6%–7.1% of MFS cases, patients also suffer from progressive motor weakness of the limbs. This condition is termed MFS/GBS overlap syndrome. Whether it is in MFS or GBS, bilateral vocal cord paralysis (BVCP) is a rare manifestation with limited cases reported in the literature. We report an extremely rare case where a 65-year-old man developed BVCP in an MFS/GBS overlap syndrome. We have also reviewed previous case reports in the literature for comparison.

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Lodged oesophageal button battery masquerading as a coin: an unusual cause of bilateral vocal cord paralysis

Emergency Medicine Journal ◽

10.1136/emj.2006.044180 ◽

2007 ◽

Vol 24 (3) ◽

pp. e15-e15 ◽

Cited By ~ 24

Author(s):

J. M. Bernstein ◽

S. A Burrows ◽

M. W Saunders

Keyword(s):

Vocal Cord ◽

Vocal Cord Paralysis ◽

Bilateral Vocal Cord Paralysis ◽

Button Battery

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Bilateral vocal cord paralysis after endoscopic placement of fully covered self-expandable metal stent for palliative treatment of malignant proximal esophageal obstruction: two case reports

BMC Gastroenterology ◽

10.1186/s12876-020-01300-4 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Y. Chiche ◽

G. Beltramo ◽

T. Degand ◽

A. Drouillard ◽

C. Foignot ◽

...

Keyword(s):

Vocal Cord ◽

Palliative Treatment ◽

Vocal Cord Paralysis ◽

Case Reports ◽

Metal Stent ◽

Esophageal Obstruction ◽

Bilateral Vocal Cord Paralysis ◽

Endoscopic Placement ◽

Self Expandable Metal Stent

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Bilateral Vocal Cord Paralysis Due to Prolonged Intubation in COVID-19 Patients-Case Reports

Otolaryngology Open Access Journal ◽

10.23880/ooaj-16000200 ◽

2020 ◽

Vol 5 (2) ◽

Author(s):

Samba BSR

Keyword(s):

Vocal Cord ◽

Tracheostomy Tube ◽

Vocal Cord Paralysis ◽

Case Reports ◽

Tube Placement ◽

Unintended Effects ◽

The Novel ◽

Bilateral Vocal Cord Paralysis ◽

Prolonged Intubation ◽

Novel Coronavirus

Patients typically undergo tracheostomy tube placement after prolonged intubation in order to decrease the risks of endotracheal intubation including laryngeal stenosis, swelling and vocal cord paralysis. This is done prior to 21 days of intubation. During the current coronavirus pandemic there has been an increase in endotracheal intubations and delay in tracheostomy tube placement beyond the 21 days secondary to new recommendations. Presented here are two cases at our institution of patients with the novel coronavirus disease (COVID-19) and prolonged (>21 days) intubation prior to tracheostomy tube placement that have bilateral vocal cord paralysis without laryngeal or tracheal stenosis after extubation. Although the new recommendations of delayed tracheostomy tube placement are intended to decrease spread, there may be increased incidence of unintended effects to the patients.

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