[Study on 34 cases of nasal button battery]
Huiteng Wang1, Zhilan Wang, Ping Chen
1Department of Otolaryngology, Wuhan Children's Hospital, Wuhan, 430016, China.
Summary
Nasal button battery removal requires prompt intervention. Post-operative nasal douching and dressing significantly reduce the risk of septal perforation, a common complication.
Area of Science:
- Otolaryngology
- Pediatric Emergency Medicine
Context:
- Button battery ingestion or lodging in the nose is a pediatric emergency.
- Nasal septal perforation is a serious complication of prolonged battery contact.
Purpose:
- To evaluate the efficacy of post-operative nasal care in preventing nasal septal perforation after button battery removal.
- To compare outcomes between patients receiving and not receiving nasal douching and local dressing.
Summary:
- This study analyzed 34 cases of nasal button battery lodging.
- 28 batteries were removed under general anesthesia, and 6 under local anesthesia.
- Post-operative nasal douching and dressing were administered to 25 patients, while 9 received no general treatment. Only 1 perforation occurred in the treated group, versus 9 in the untreated group.
Impact:
- Nasal douching and local dressing after button battery removal are effective in preventing mucosal erosion.
- This conservative management strategy can significantly decrease the incidence of nasal septal perforation.
