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Updated: Jun 27, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
04:55

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Published on: September 11, 2018

[A dangerous nasal foreign body: the button battery].

J Bachmann1, A Niewels, F Henschke

  • 1Klinik für HNO-Heilkunde, Karl-Hansen-Klinik GmbH, Bad Lippspringe. j.bachmann@medizinisches-zentrum.de

Laryngo- Rhino- Otologie
|November 27, 2008
PubMed
Summary

Button batteries lodged in the nose cause severe endonasal damage, including cartilage necrosis and perforation. Immediate removal is crucial, classifying this as an ENT emergency.

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Area of Science:

  • Otolaryngology
  • Pediatric Emergency Medicine

Background:

  • Button batteries are common foreign bodies in children.
  • Nasal foreign bodies can cause significant local tissue damage.

Observation:

  • A case report details a 4-year-old boy with an intranasal button battery.
  • The battery caused severe damage to the endonasal mucoperichondrium, leading to cartilage necrosis.

Findings:

  • Acute treatment involved battery removal and debridement of necrotic tissue.
  • Significant medical resources were required for initial treatment.
  • Potential future reconstructive surgeries will also be resource-intensive.

Implications:

  • Intranasal button batteries can result in necrosis of the nasal septum cartilage and perforation.
  • Immediate removal of button batteries from the nasal cavity is essential.
  • Button battery insertion into the nose should be treated as an Ear, Nose, and Throat (ENT) emergency.