foreign bodies ear nose button battery
2817029
Alkaline battery foreign bodies of the ear and nose.
Button batteries as foreign bodies are dangerous because of their ability to cause liquefaction necrosis on contact with moist tissue. We treated two patients with disk batteries in the ear and nose. Both patients had severe local reactions, necessitating prolonged treatment. Prompt identification and rapid removal of these foreign bodies is recommended.
Archives of otolaryngology head neck surgery
Jason Capo Frank E Lucente
10605862
Button Batteries as Missed Foreign Bodies in Children
The dangers of button battery ingestion are well documented. Button batteries may also be inserted into the ears and nose. In many cases of foreign body insertion the nature of the foreign body may be unclear. We describe two cases where foreign bodies of metallic appearance were noted in the ear and nose respectively with no prior history of button battery placement. Button batteries, which had caused significant tissue damage, were discovered in both cases. When there is diagnostic uncertainty regarding the precise nature of a metallic looking foreign body in the ears, nose or upper aerodigestive tract there should be a high index of suspicion of the possibility of a button battery and urgent removal undertaken.
Hasnaa Ismail-Koch
79542282
Management of Alkaline Button Battery Foreign Body in The Nasal Cavity At A Peripheral Centre
Foreign body in nose is one of the most common Ear Nose& Throat emergencies. Button batteries are one ofthe most dangerous foreign bodies as it can cause extensive tissue damage by chemical or thermal burns. We present a 5 years old boy with nasal mucosal necrosis against a button battery foreign body managed at a peripheral centre in the light of literature available.
Vishal Gaurav Prasant Panda Dilip Raghavan
28362128
[Septal perforation in children due to button battery lodged in the nose: case series]
Nasal foreign bodies are common in children. Button batteries deserve particular interest due to the severity and precocity of the injuries they cause. The button battery represents a growing danger. Its small size and brilliant appearance make them attractive to children, often being introduced in the nose, ear or mouth. It is imperative that the community and physicians are aware of the risks it poses. Early diagnosis and immediate removal is essential. Their delay can lead to necrosis of the nasal mucosa and septal perforation. We report 10 cases of septal perforation due to button battery. We emphasize the dangers of nasal impaction and the need for quick removal to avoid long term complications.
Archivos argentinos de pediatria
Adrian Zanetta Giselle Cuestas Hugo Anibal Rodriguez Victor Quiroga
38670913
Button batteries in the ear, nose and cervical esophagus: a destructive foreign body.
Button batteries spontaneously leak alkaline electrolyte solution on exposure to moisture, causing liquefaction necrosis of adjacent tissue. We describe two cases in which a button battery in the external auditory meatus caused skin, bone and tympanic membrane necrosis. Review of the world literature on button batteries acting as foreign bodies reveals lower motor neurone facial nerve palsy, nasal septal perforation and fatal esophago aortic fistula as among the ENT complications. Batteries lodged in these sites must be removed as a matter of the utmost urgency.
The Journal of otolaryngology
Duncan Mcrae Don J Premachandra David Gatland
13132827
Miniature battery foreign bodies in auditory and nasal cavities.
A series of cases involving button batteries lodged in the ear or nasal cavity is presented. All produced tissue destruction. Injuries were generally severe, and included tympanic membrane perforation (three patients) or total destruction (three) marked necrosis of dermis of the external ear canal with exposed bone (seven) documented further impairment of hearing (three) destruction of ossicles (two) facial nerve paralysis and chondritis (one) nasal septal perforation (one) and superficial burns of nasal mucosa (one) Otic and nasal drops must be withheld as they provide an external electrolyte bath for the battery, enhancing leakage and generation of an external current, with subsequent tissue electrolysis and hydroxide formation. Instead, batteries lodged in the ear or nose must be removed promptly.
JAMA
Kevin T Kavanagh Toby L Litovitz
73433770
Proposal of a new clinical method for removal of button batteries and other ferrous material from the external auditory canal and nasal cavity using a fine magnet probe
Foreign body impaction in the external auditory canal and nasal cav ity is a common presentation in the acute setting. The most common foreign bodies in adults tend to be food material, although cotton buds and hearing aid parts are often seen in the UK. In children, food and parts of toys were found to be the most common.1 However, one of the most dangerous foreign bodies inserted into the ear canal or the nose is the button battery. Prompt retrieval is essential in pre venting the complications that may arise from these, due to their corrosive electrochemical nature. Complications in the nose include nasal septal perforation re sulting in a saddle nose deformity, nasal adhesions, bleeding and infection. Button battery impaction in the ear canal has resulted in exten sive liquefactive necrosis of the auditory canal skin with a malignant otitis externa type presentation.2 Immediate removal prevents fur ther complications such as nerve damage, infection and permanent hearing loss. Such sequelae can begin to occur within minutes of insertion. Removal of external auditory canal foreign bodies can be chal lenging, especially in children where techniques such as microsuction are not well tolerated. In many cases, general anaesthesia is required to facilitate removal. Even with emergency and expeditious surgery an inevitable delay in treatment occurs as preparation for an oper ation occur. The risks of general anaesthesia are minimal but still present. Therefore, in order to obtain the best possible outcome for a patient, immediate removal of such a battery together with the avoidance of general anaesthesia is desirable. A literature search was conducted on PubMeD of English language papers examining the magnetic removal of foreign bodies from nasal
Clinical otolaryngology official journal of ENT UK official journal of Netherlands Society for Oto Rhino Laryngology Cervico Facial Surgery
Waqas Bin Majid Din Gerard A Kelly Cindy Liu
53744595
Foreign Bodies of the Ear, Nose and Throat.
Foreign bodies to the ear, nose, and throat often can be managed in the emergency department, particularly if the patient offers a history consistent with foreign body and is calm and compliant with the examination and removal attempts. Tips for success include analgesia, adequate visualization, immobilization of the patient's head, dexterity and experience level of the provider, and minimizing attempts at removal. It is critical to recognize the risks involved with certain retained objects (button batteries or sharp objects) and when to call a consultant to help facilitate safe, successful removal of objects to the ear, nose, and throat.
Emergency medicine clinics of North America
Leslie C Oyama
221825234
Ear, nose, and throat foreign bodies in pediatric age
Ear, nose, and throat foreign bodies (FBs) in pediatric age group are one of the most common emergencies managed by otorhinolaryngologists. FB in the ear, nose, and throat may cause significant morbidity and may need costly management if not treated in time. The diagnosis of the FB is based on the history from parents or caregivers, physical examination, and imaging. Successful removal of the FB depends on the site of FB, type of the FB, availability of the instruments, and skill of the clinicians attempting for FB removal. The attempts of the FB removal from the ear, nose, and throat by untrained or inexperienced health professionals may lead to complications. It is a necessity to educate the caregivers or parents for close monitoring their children for close monitoring and avoid such FB insertion. This review article focuses on the prevalence, factors related to the FB insertion into the ear, nose, and throat in pediatric age, clinical presentations, and current management. This article will surely increase awareness among the emergency physicians, pediatricians, family physicians, and otolaryngologists for dealing with pediatric patients with FB in the ear, nose, and throat and help them to resolve this problem to a great extent.
Santosh Kumar Swain K C Mallik
225044061
Foreign Bodies in Ear, Nose, Throat and Maxillofacial Region: A Study on Their Clinical Profile and Complications
The clinical picture and treatment options of foreign bodies in ENT vary widely depending on the site of involvement. Our study was a comprehensive review of both luminal and extraluminal foreign bodies in Otorhinolaryngology. A hospital based cross sectional retrospective study was conducted to study the foreign bodies in ear, nose, throat and maxillofacial region in terms of demography, various modes of entry, site of lodgement, clinical features, treatment modalities and complications. While majority of the previous studies have focused on objects entering through natural orifices of ear, nose and throat, our study was a comprehensive review of both luminal and extraluminal foreign bodies in otorhinolaryngology. It was a retrospective study of four years duration on patients who presented with foreign bodies in OPD and emergency ward. Relevant data were tabulated and clinical and radiological documentation of interesting case scenarios have been depicted. The commonest age group affected was 0 10 years with 111 (58.52% out of 190 cases. The most common site was aerodigestive tract 40% followed by ears (31% nose (26% and maxillofacial region (3% Insects, vegetable seeds and coins were the most common FBs in ear, nose and throat respectively. Foreign bodies have shown seasonal, geographic, socioeconomic and occupational variations in their distribution. Patient's age, type of foreign body, chance of migration to deeper tissue planes, failed unskilled removal attempts, delay in diagnosis and presence of comorbidities can complicate chances of removal.
Indian Journal of Otolaryngology and Head Neck Surgery
Meenakshi Kekre Sharmistha Chakravarty Rashi Agarwal