Intranasal button battery: a case series
1 Department of Otorhinolaryngology – Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia
2 Hospital Universiti Sains Malaysia, Health Campus USM, 16150, Kubang Kerian, Kelantan, Malaysia
3 Department of Otorhinolaryngology – Head & Neck Surgery, Hospital Raja Perempuan Zainab II, 15586 Kota Bharu, Kelantan, Malaysia
Correspondence: Wan Nur Anis Wan Draman, MD, Department of Otorhinolaryngology – Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia, e-mail: nuranisarman@gmail.com
Pediatr Med Rodz 2019, 15 (1), p. 88–92
DOI: 10.15557/PiMR.2019.0016
ABSTRACT

Intranasal foreign bodies are a common occurrence in children that may be either accidental or self-induced. The most vulnerable age is between 6 months and 4 years, when children tend to explore new objects. Button batteries as foreign bodies in the nasal cavity are rarely seen but common in the paediatric age group; and therefore they represent a growing danger. They are hazardous as they can cause liquefaction necrosis with subsequent severe local tissue destruction. In the case of diagnostic uncertainty regarding the precise nature of a metallic looking foreign body in the nose, a high index of suspicion should be retained for the possibility of a button battery and urgent removal should be undertaken. We present three cases of intranasal button battery to emphasise their hazards of impaction and the value of early diagnosis and treatment, which can prevent severe local tissue damage resulting in late sequelae, such as septal perforation.

Keywords: foreign body, nose, button battery, nasal septal perforation