Abstract
Background: The appearance of button batteries in toys, and electronics appear to be a source of increased morbidity and mortality especially in the Paediatric age group. These foreign bodies observed were removed from various orifices found in the regions of the ear, nose and throat.
Method: This is a retrospective study of button batteries removed as foreign bodies accidentally lodged in the ear, nose, throat, as well as the laryngo-tracheobronchial airway, in the department of otolaryngology of the university of portharcourt teaching hospital. Case notes were retrieved from theater records, clinics and wards. Records from this case notes were put in tables and analyzed.
Results: Show button batteries in the various locations of the ear, nose, hypopharynx, larynx and oesophagus. With the majority being located in the oesophagus accounting for 40 % of the cases. Complications arising from lodgement of these foreign bodies include strictures and obstructive airways.
Conclusion: Presence of button batteries as foreign bodies in the various mentioned orifices are dangerous and pose serious morbidity and even mortality if not quickly removed. Healthcare providers/parents should be aware of dangers of button battery foreign bodies lodged in any orifice.
Keywords: Button battery, Oesophagus, Anesthesia.
References
- Oreh AC, Folorunsho D, Ibekwe TS. Actualities of management of aural , nasal and throat foreign bodies. Annals of medical health sciences research. 2015; 5(2):108-14
- Marshall J, Williamson K. Prolonged esophageal button battery impaction in a 15 month old : A case report J Family medicine disease prevention. 2016,2 (5) 2:004
- Bhosale M, Patil S, Aathwale H. Impacted button battery causing acquired tracheoesophageal fistula in a 2 month- old infant. Journal of clinical neonatology. 2016; 5 (4) 268-70
- Yuca K, Yuca SA, Caksen H. Aural live foreign bodies in children. J Emerg Med 2003;25;102-4
- Ansley JF, Cunningham MJ. Treatment of aural foreign bodies in children. Pediatrics 1998;101:638-41
- Ologe FE, Dunmade AD, Afolabi OA. Aural Foreign bodies in children. Indian J Pediatr 2007;74;755-8
- Premanchandra DJ, Mc RAE d. Severe tissue destruction in the ear caused by alkaline button battery. Postgraduate medical journal 1990;66(771):52-3
- Fernando P . perforation of nasal septum due to button battery lodging in nose. Br Med J 1987,294:742-743
- Shabino CL, Feinberg esophageal perforation secondary to alkaline battery ingestion. J Am Coll Emerg Med 1979,8;360 -362
- Votteler TP, Nash JC, Butledge JC. The hazards of ingested alkaline disk batteries in children. JAMA 1983, 249 :2504-06
- Honck JC, De Angelo L, Jacob RA. The dermal chemical response to alkali injury. Surgery 1962,51:503-507
- Chan TC,Ufberg J, Harrigan RA, Vike GM. Nasal foreign body removal. The Journal of Emergency Medicine.2004; 26(4):441-5
- Mohammed HT, Waleed MB, Sherif A. Button Battery foreign bodies in children: Hazards, management and recommendation. Biomed research international volume 2013, Article ID 846091
- Kalan A , Tariq M. Foreign bodies in the nasal cavities ; a comprehensive review of the aetiology, diagnostic pointers and therapeutic measures. Postgraduate medical journal 2000 ;76 (898):484-7
- Esclamado RM, Richardson MA. Laryngotracheal foreign bodies in children. A comparison with bronchial foreign bodies. Am J Dis Child 1987;141:259-62
- Robinson PJ. Laryngeal foreign bodies in children; First stop before the right main bronchus. J Paediatr Child Health 2003;39;477-9
- Gautam V, Phillips J , Bowmer h, Reichl M. Foreign body in the throat J Accid Emerg 1994;11:113-5
- Silva AB, Muntz HR, Clary R. Utility of conventional radiography in the diagnosis and management of paediatric airway foreign bodies. Ann Otol Rhinol Laryngol 1998;107:834-8
- Jatana KR, Litovitz T, Reilly JS , Koltai PJ, Rider G et al. Paediatric button battery injuries: 2013 task force update. International journal of Paediatric Otorhinolaryngology 77: 1392-1399
- Mc Rae D, Premachandra DJ, Gatland DJ . Button battery in the ear,nose and cervical oesophagus : a destructive foreign body. The Journal of otolaryngology. 1989;18 (6):317-9
- Bakshi SS, Coumare VN, Priya M,Kumar S. Long term complications of button battery in the nose. The journal of emergency medicine.2016;50(3):485-7
- Litovitz TL. Button battery ingestion : a review of 56 cases. JAMA 1983 13 ;249(8):2495-500
- Brumbaugh DE, Colson SB, Sandoral JA, Karres FM, Bealer JF, Litovitz T, Kramer RE. Management of button battery induced hemorrhage in children. Journal of pediatric gastroenterology and nutrition 2011; 52(5):585-9.
Corresponding Author
Dr Nwogbo Augustine
ENT Department, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
DOI: https://dx.doi.org/10.18535/jmscr/v9i2.40
