Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Faculty of Medicine, Alexandria University, Alexandria 21526, Egypt.
Biomed Res Int. 2013;2013:846091. doi: 10.1155/2013/846091. Epub 2013 Jul 11.
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.
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.
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.
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.
纽扣电池的需求和使用量增加。儿童经常会无意中将其放入耳朵或鼻子中，有时也会误食并卡在上呼吸道。本研究旨在探讨纽扣电池异物的不同表现，并介绍我们在诊断和处理儿童这一危险问题方面的经验。
本研究纳入 13 名患者。诊断方案包括详细的病史、头颈部体格检查和适当的影像学评估。纽扣电池在全身麻醉下紧急取出。
平均随访时间为 4.3 个月。5 名患者的纽扣电池位于鼻腔，4 名患者的纽扣电池位于食管，3 名患者的纽扣电池位于胃部，1 名患者的纽扣电池卡在左侧外耳道。除了鼻中隔穿孔和鼓膜穿孔外，未发现其他严重并发症。
早期发现是处理纽扣电池异物的关键。它们在影像学上具有独特的表现，必须及时取出，尤其是对于卡在食管内的电池。医生必须认识到这种事故的潜在危害和严重后果。需要加强对此严重问题的公众教育。
