An Interesting Case of Button Battery causing Septal Perforation

ABSTRACT Button batteries presenting as foreign bodies in the nasal cavity are rarely seen but common in pediatric age group. They are hazardous due to the extensive nature of damage caused by them. In this study, we discuss the case of a child with impacted button battery in the nasal cavity. A 7-year-old boy presented with bilateral foul-smelling nasal discharge since 6 months. It was purulent, yellowish-green, often blood stained. Radiograph showed evidence of a button battery in the left nostril. The foreign body was removed endoscopically and it was found that there was a perforation in the nasal septum. Early recognition and management is the key to prevention of complications due to foreign bodies, especially corrosive type. How to cite this article Seth S, Kumar H. An Interesting Case of Button Battery causing Septal Perforation. Clin Rhinol An Int J 2017;10(1):22-24.

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AN INTERESTING CASE OF LONG STANDING IMPACTED BUTTON BATTERY CAUSING SEPTAL PERFORATION AND DEFORMITY

10.36106/ijsr/1916915 ◽

2020 ◽

pp. 54-55

Author(s):

Sanjeev Bhagat ◽

Jasmine Ratti ◽

Sachiv Garg

Keyword(s):

Interesting Case ◽

Saddle Nose ◽

Septal Perforation ◽

Severe Damage ◽

Small Children ◽

Button Battery ◽

Saddle Nose Deformity ◽

Electrical Devices ◽

Nose Deformity ◽

Button Batteries

Button batteries usage in electrical devices like toys, watches, calculators etc has significantly increased in recent times and due to their easy availability and small size, these batteries can be very easily inserted by small children in the nose. A nasal button battery is an otorhinolaryngological emergency as it can lead to severe damage, necrosis, and perforation of the nasal septum, intranasal synechiae , and nasal deformity [1]. Button batteries should ideally be removed in a controlled setting under general anesthesia if they cannot be removed in the outpatient department. We hereby report this case to advocate that button battery in the nasal cavity is a serious condition and can lead to grave complications like nasal synechiae, granulations , septal perforation further causing saddle nose deformity.

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Button battery ingestion in children: An emerging hazard

Journal of Digestive Endoscopy ◽

10.4103/0976-5042.129969 ◽

2013 ◽

Vol 04 (03) ◽

pp. 071-074 ◽

Cited By ~ 4

Author(s):

Mayank Jain ◽

Chandrashekhar Waghmare ◽

Sagar Adkar ◽

Shohini Sircar ◽

Ajay K. Jain

Keyword(s):

Retrospective Study ◽

Mucosal Injury ◽

Age Group ◽

Pediatric Age ◽

Button Battery ◽

Pediatric Age Group ◽

Rigid Esophagoscopy ◽

Local Injury ◽

Button Batteries

AbstractButton battery ingestion is an emerging hazard. In this retrospective study, we report six cases of lithium button battery ingestion in pediatric age group (mean age 2.8 years). Three button batteries were removed from stomach and three from esophagus. Esophageal site was associated with significant local injury, and one button battery was impacted in the esophagus, requiring rigid esophagoscopy for removal. Small battery size, used batteries, and early removal (<12 h after ingestion) were associated with lesser mucosal injury. No long-term complications were noted. Our study emphasizes that early diagnosis and urgent removal of ingested button battery are the only measures which prevent complications.

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Analysis of nasal foreign bodies in 341 children

The Journal of Laryngology & Otology ◽

10.1017/s0022215119001944 ◽

2019 ◽

Vol 133 (10) ◽

pp. 908-912

Author(s):

Z-C Lou

Keyword(s):

Medical Records ◽

Foreign Bodies ◽

Clinical Presentation ◽

Outcome Data ◽

Septal Perforation ◽

Body Type ◽

Button Battery ◽

Average Patient ◽

The Common ◽

Button Batteries

AbstractObjectiveThis study aimed to analyse the common presentations and treatment outcomes in cases involving nasal foreign bodies.MethodsA retrospective study was carried out over three years, from January 2014 to December 2017. Patient biodata, clinical presentation, nasal foreign body type and management outcome data were obtained from the medical records and analysed.ResultsA total of 341 cases were analysed. The average patient age was 3.7 ± 1.2 years (range, 1–19 years).Of the nine cases involving button batteries, septal perforation was initially seen in four cases and three cases had subsequent septal perforation.ConclusionOnly button battery nasal foreign bodies were associated with increased septal perforation. Use of physiological seawater nasal spray was found to reduce the likelihood of septal perforation. Most nasal foreign bodies could be removed under local anaesthesia.

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Intranasal foreign bodies: A 10-year analysis of a large cohort, in a tertiary medical center

10.22541/au.161511477.71646019/v1 ◽

2021 ◽

Author(s):

Ofir Zavdy ◽

Igor Vainer ◽

Nataly London ◽

Tomer Menzely ◽

Roy Hod ◽

...

Keyword(s):

Foreign Bodies ◽

Clinical Presentation ◽

Medical Center ◽

Nasal Discharge ◽

Septal Perforation ◽

Pediatric Hospital ◽

Older Children ◽

Increased Risk ◽

High Index Of Suspicion ◽

Button Batteries

Objective: To describe the occurrence, clinical presentation and management, of pediatric nasal foreign bodies, and to assess various risk factors for complications. Methods: A retrospective analysis of a computerized patient directory of 562 children admitted to the emergency department (ED) in a tertiary pediatric hospital during a 10-year period (Jan 2010-Dec 2019), with a witnessed NFB upon physical examination. Results: Upon admittance to the ED, most of the children (82%) were asymptomatic. Among the symptomatic children (18%), the primary symptoms were nasal discharge (10%), epistaxis (8%) and pain (4%). Younger children (under age 4 years) were more likely to insert organic materials, compared to older children. Younger children were also admitted sooner to the ED and were more likely to present with nasal discharge. The overall complication rate was 5%. None of the children had aspirated the NFB. Complications included infection (2%), necrosis (0.7%), septal perforation (0.5%), deep mucosal laceration (1.5%) and loss of NFB (1.9%). Significantly higher rates of symptoms and complications were associated with button batteries. Increased risk for complications were observed according to NFB-type, multiple attempts to remove NFB, posterior insertion of NFB and left-side insertion. Conclusions: NFB in children are common. Mostly, patients are asymptomatic, therefore a high index of suspicion is required, for quick diagnosis and safe removal, without complications.

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Unilateral rhinorrhoea and button battery: a case report

Family Medicine and Community Health ◽

10.1136/fmch-2019-000137 ◽

2019 ◽

Vol 7 (3) ◽

pp. e000137

Author(s):

Geng Ju Tuang ◽

Nik Roslina Nik Hussin ◽

Zainal Azmi Zainal Abidin

Keyword(s):

Case Report ◽

General Practitioner ◽

Foreign Body ◽

Nasal Discharge ◽

Age Group ◽

Septal Perforation ◽

Button Battery ◽

X Ray ◽

Paediatric Age ◽

Endoscopic Retrieval

Unilateral rhinorrhoea in the paediatric age group could be an alarming sign that warrants a clinician attention. These patients are routinely brought to see general practitioner as parents may not be aware of the urgency to intervene surgically. Herein we describe a case of a toddler who presented initially to a general practitioner with unilateral nasal discharge. He was subsequently referred to the otorhinolaryngology department for unresolved rhinitis. The child was examined, and the diagnosis of an embedded foreign body was made. X-ray of the paranasal sinus unveiled an embedded button battery. An emergency endoscopic retrieval of the button battery was performed under general anaesthesia. Unfortunately, the case was complicated with a huge septal perforation.

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Diagnosis and management of radio opaque nasal foreign bodies in children

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20180490 ◽

2018 ◽

Vol 4 (2) ◽

pp. 424

Author(s):

Satish Kumar P. ◽

Vikram V. J. ◽

Mannarmannan N. ◽

Bhavani R.

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Paediatric Population ◽

Age Group ◽

Septal Perforation ◽

Case Record ◽

Button Battery ◽

Medical College ◽

Foreign Body Impaction ◽

Madras Medical College

Background: Nasal foreign body impaction is a common problem in paediatric population. Children are more affected because they have tendency to put anything in the nose or by their playmates. This study is about the various radio opaque nasal foreign bodies we encountered and their management. Methods: A retrospective study between January 2013 - January 2015, at Institute of child health/Madras Medical College, Chennai, was done in paediatric patients, who have accidently inserted the radio opaque foreign body in their nostrils. The case record were analysed for the nature of radio opaque nasal foreign body, the symptoms, complications encountered. Results: There were 11 patients with radio opaque foreign body in our study. The most common age group was between 1 to 5 years 7 patients were in this age group. The type of foreign was button battery were 5 in number, safety pins 4, marble 1, bolt 1. All the patients were brought to hospital within 4 hours of insertion. We did not encounter any complications while removal of the nasal foreign bodies. Conclusions: Nasal foreign bodies are a common problem among children’s. The foreign body retrieval can be posing a great challenge to the otorhinolaryngologists. The radio opaque foreign body especially button battery, if not removed may lead to serious complications like septal perforation.

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Pediatric Isolated Sinonasal Schwannoma: A New Case Report and Literature Review

Case Reports in Medicine ◽

10.1155/2016/2786030 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Xiao-Hui Ma ◽

Hai-Chun Zhou ◽

Can Lai ◽

Kun Zhu ◽

Xuan Jia

Keyword(s):

Case Report ◽

Literature Review ◽

Nasal Cavity ◽

Maxillary Sinus ◽

Paranasal Sinuses ◽

Pediatric Patients ◽

Age Group ◽

Pediatric Age ◽

Pediatric Age Group ◽

Group A

Schwannomas of the paranasal sinus are uncommon. Less than 4% of schwannomas involve the nasal cavity and paranasal sinuses, even less in the pediatric age group. A case of schwannoma arising in maxillary sinus in a 2.5-year-old Chinese boy is reported. The basis for discussion of this case is the exceptional rarity of sinonasal schwannoma in pediatric patients.

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The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction

Case Reports in Medicine ◽

10.1155/2010/845671 ◽

2010 ◽

Vol 2010 ◽

pp. 1-4 ◽

Cited By ~ 15

Author(s):

Detlef Brehmer ◽

Randolf Riemann

Keyword(s):

Differential Diagnosis ◽

Nasal Cavity ◽

Foreign Bodies ◽

Early Stage ◽

Diagnostic Techniques ◽

Nasal Discharge ◽

Rare Occurrence ◽

The Past ◽

Stage Of Development ◽

The Right

Rhinoliths are mineralised foreign bodies in the nasal cavity that are a chance finding at anterior rhinoscopy. Undiscovered, they grow appreciably in size and can cause a foul-smelling nasal discharge and breathing problems. Giant nasal stones are now a very rare occurrence, since improved diagnostic techniques, such as endoscopic/microscopic rhinoscopy, now make it possible to identify foreign bodies at an early stage of development. We report the case of a 37-year-old patient who, at the age of 5-6 years, introduced a foreign body, probably a stone, into his right nasal cavity. On presentation, he complained of difficulty in breathing through the right nostril that had persisted for the last 10 years. For the past four years a strong fetid smell from the nose had been apparent to those in his vicinity. Under general anaesthesia, the stone was removed in toto from the right nasal cavity. The possible genesis of the rhinolith is discussed, our case compared with those described in the literature, and possible differential diagnoses are considered.

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Accidental button battery ingestion presenting as croup

The Journal of Laryngology & Otology ◽

10.1017/s0022215114000073 ◽

2014 ◽

Vol 128 (3) ◽

pp. 292-295 ◽

Cited By ~ 6

Author(s):

R Gohil ◽

J Culshaw ◽

P Jackson ◽

S Singh

Keyword(s):

Risk Factors ◽

Case Report ◽

Medical Treatment ◽

Foreign Bodies ◽

Button Battery ◽

Associated Risk Factors ◽

Contrast Swallow ◽

Button Batteries

AbstractObjectives:To report a case of misdiagnosis of an impacted oesophageal button battery in a child, and to describe the associated risk factors for impaction and the management of such cases.Case report:An 18-month-old, otherwise fit and well child with stridulous respiration was initially treated for croup. Medical treatment over the course of three months failed, and appropriate imaging subsequently demonstrated an impacted button battery in the upper oesophagus. This was promptly removed. There were no signs of damage on direct visualisation, or on a follow-up contrast swallow image.Conclusion:This case highlights the difficulty of diagnosing oesophageal foreign bodies. We also discuss the characteristics of button batteries which confer a greater risk of impaction, and the associated sequelae and complications.

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An Asymptomatic Foreign Body in the Nose in an Eighteen-Year-Old Patient: Button Battery

Case Reports in Surgery ◽

10.1155/2015/129851 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Merih Onal ◽

Gultekin Ovet ◽

Necat Alatas

Keyword(s):

Foreign Body ◽

Nasal Obstruction ◽

Foreign Bodies ◽

Surgical Intervention ◽

Chronic Sinusitis ◽

Upper Airway ◽

Common Occurrence ◽

Button Battery ◽

Button Batteries ◽

Early Surgical Intervention

Foreign bodies lodged in the upper airway are a common occurrence in children. Many unusual foreign bodies in the nose have been reported as foreign bodies like nuts, plastic toy parts, beads, and so forth. Most of these produce minimal morbidity but button batteries due to their early chemical disintegration require early surgical intervention. Here, we report a case of button battery lodged in the nose for several years with a symptom of nasal obstruction and chronic sinusitis.

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