Button batteries, plastic toys and coins: how to treat children who ingest foreign bodies

2022 ◽  
Vol 34 (1) ◽  
pp. 6-7
Author(s):  
Erin Dean
Keyword(s):  
Foreign Bodies ◽  
Plastic Toys ◽  
Button Batteries

scholarly journals Will children ever learn? Removal of nasal and aural foreign bodies: a study of hospital episode statistics

2018 ◽  
Vol 100 (8) ◽  
pp. 632-634 ◽  
Author(s):  
S Morris ◽  
MS Osborne ◽  
AL McDermott
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hospital Episode Statistics ◽  
Hospital Data ◽  
Foreign Body Removal ◽  
Hospital Episode ◽  
Risk Of Injury ◽  
Adults And Children ◽  
Button Batteries ◽  
Nose And Throat

Introduction Foreign body removal is a common reason for children to attend the emergency department. Generally, aural and nasal foreign bodies are not associated with immediate morbidity unless they are button batteries. There can be consequences of migration and removal. Methods Hospital Episode Statistics for 2010–2016 were used to calculate the number of nasal and aural foreign bodies that have been removed in hospital. Data for adults and children have been compared. Results 8752 nasal and 17,325 aural foreign bodies have been removed from adults and children over the course of 6 years. Children were responsible for 95% of the 8353 nasal and 85% of the 14,875 aural foreign body presentations. Children aged 1–4 years are most at risk of injury. Conclusion Children are more likely to present to hospital than adults with a foreign body in the ear or nose. Aural bodies were more likely to need removal in hospital for both populations. Authors believe that these require identification and removal by an ear, nose and throat specialist to prevent morbidity. The overall number of procedures performed annually in children has not reduced over the study period; an average of 1218 nasal and 2479 aural foreign body removals are performed each year with an annual cost of £2,880,148 to NHS England.

Accidental button battery ingestion presenting as croup

2014 ◽  
Vol 128 (3) ◽  
pp. 292-295 ◽  
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.

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

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.

Button batteries as foreign bodies in the nasal cavities

1987 ◽  
Vol 14 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Derren Hong ◽  
Yu-Fung Chu ◽  
Kun-Min Tong ◽  
Chin-Jung Hsiao
Keyword(s):  
Foreign Bodies ◽  
Nasal Cavities ◽  
Button Batteries

scholarly journals Large Foreign Body in Nose in Adult for a Long Time: A Rare Case

2019 ◽  
Vol 7 (1) ◽  
pp. 49-52
Author(s):  
KM Reza Ul Haq ◽  
Refat Tabassum ◽  
Shoriful Islam ◽  
Asif Imran Siddiqui ◽  
Mohammad Arman Zahed Basunia ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Chronic Sinusitis ◽  
Nasal Discharge ◽  
Nasal Blockage ◽  
Long Time ◽  
Foul Smell ◽  
Body Odour ◽  
Nasal Bleeding ◽  
Button Batteries

Otolaryngologists frequently encounter nasal foreign bodies, particularly among children and mentally retarded patients. Many unusual foreign bodies in the nose have been reported like nuts, plastic toy parts, beads and even button batteries. Several symptoms may be present in the case of a nasal foreign body which includes nasal discharge, epistaxis, infection, halitosis, foul breath or body odour and chronic sinusitis. We present a case of 19 years old girl with left sided nasal blockage, foul smell from left nostril and mouth with occasional nasal bleeding for last 13 years. She was treated conservatively but was not improved. On anterior rhinoscopy some blackish material covered with exudates was revealed which was very foul smelling and bleeds on touch. After nasoendoscopy we suspected that it would be an old foreign body which had already formed rhinolith. The large foreign body was fixed with floor, lateral and medial wall (nasal septum) and was removed by 0˚nasoendoscope and also through oral cavity under general anaesthesia. Delta Med Col J. Jan 2019 7(1): 49-52

scholarly journals Three cases of the foreign bodies of button batteries in the nasal cavity.

1985 ◽  
Vol 88 (7) ◽  
pp. 920-925 ◽  
Author(s):  
YOHKO SATO ◽  
KOHSEI OHTSUKI ◽  
IWAO OHTANI ◽  
JIN OUCHI ◽  
KOHICHI TOYOMASU ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Foreign Bodies ◽  
Button Batteries

scholarly journals Overtubes and Foreign Bodies

1990 ◽  
Vol 4 (9) ◽  
pp. 599-602 ◽  
Author(s):  
Norman E Marcon
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
The Elderly ◽  
Flexible Endoscopy ◽  
X Rays ◽  
Glass Bottle ◽  
New Techniques ◽  
Foreign Body Removal ◽  
Gastrostomy Tubes ◽  
Button Batteries

The most common article ingested in adults is food or food products such as nuts, shells, pits and bones. Poorly chewed steak causing bolus obstruction occurs especially in the elderly, while coins are most common in the pediatric group. New techniques of flexible endoscopy have altered and improved management, decreasing the need for surgery. A foreign body in the esophagus mandates prompt removal to avoid perforation. At least 80% of foreign, bodies reaching the stomach pass spontaneously. Once the foreign body is beyond the distal duodenum, it should be followed with serial x-rays. Techniques of removal of meat, bones, shells, bezoars, glass, bottle tops, sharps, pencils, pens, wires, thermometers, gastrostomy tubes, obesity balloons, safety pins, razor blades, button batteries and cocaine packets are described. Complications related to foreign body removal are rare.

scholarly journals Tracheo-oesophageal fistula in a case of button battery ingestion: CT virtual bronchoscopy imaging

2019 ◽  
Vol 12 (5) ◽  
pp. e229418
Author(s):  
Sanika Sanjeev Agarwal ◽  
Devdas Sudhakar Shetty ◽  
Manisha Vishnu Joshi ◽  
Siddhant Uttam Manwar
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Paediatric Population ◽  
Foreign Body Ingestion ◽  
Virtual Bronchoscopy ◽  
Severe Injuries ◽  
Button Battery ◽  
Non Invasive ◽  
Pass Through ◽  
Button Batteries

Foreign body ingestion in paediatric population is a very common problem. Usually the foreign bodies pass through the gastrointestinal tract without any complications; however, certain foreign bodies like button batteries might cause severe injuries like tracheo-oesophageal fistula (TOF), oesophago-aortic fistula, perforation and mediastinitis, vocal cord paralysis and stenosis after suspected perforation. In our case, an infant developed a TOF following ingestion of button battery which was diagnosed with the help of CT virtual bronchoscopy. It also contributed to the decision making regarding suitable operative techniques. Thus, CT virtual bronchoscopy can help in the diagnosis and detection of any complications due to foreign body ingestion with the added advantage of being non-invasive.

scholarly journals Button Battery Foreign Bodies in Children: Hazards, Management, and Recommendations

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Mohammed Hossam Thabet ◽  
Waleed Mohamed Basha ◽  
Sherif Askar
Keyword(s):  
Foreign Bodies ◽  
Tympanic Membrane Perforation ◽  
Radiographic Evaluation ◽  
Upper Aerodigestive Tract ◽  
Button Battery ◽  
Diagnostic Protocol ◽  
Nasal Septal Perforation ◽  
Membrane Perforation ◽  
Button Batteries

Objective. The demand and usage of button batteries have risen. They are frequently inadvertently placed by children in their ears or noses and occasionally are swallowed and lodged along the upper aerodigestive tract. The purpose of this work is to study the different presentations of button battery foreign bodies and present our experience in the diagnosis and management of this hazardous problem in children.Patients and Methods. This study included 13 patients. The diagnostic protocol was comprised of a thorough history, head and neck physical examination, and appropriate radiographic evaluation. The button batteries were emergently extracted under general anesthesia.Results. The average follow-up period was 4.3 months. Five patients had a nasal button battery. Four patients had an esophageal button battery. Three patients had a button battery in the stomach. One patient had a button battery impacted in the left external ear canal. Apart from a nasal septal perforation and a tympanic membrane perforation, no major complications were detected.Conclusion. Early detection is the key in the management of button battery foreign bodies. They have a distinctive appearance on radiography, and its prompt removal is mandatory, especially for batteries lodged in the esophagus. Physicians must recognize the hazardous potential and serious implications of such an accident. There is a need for more public education about this serious problem.

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