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Bilateral Vocal Cord Fibrosis: A Delayed Complication of Button Battery Ingestion

Norbert F Banhidy1, Shiraz Jamshaid2, Reshma Ghedia2

  • 1Otolaryngology - Head and Neck Surgery, Royal London Hospital, London, GBR.

Cureus
|July 11, 2022
PubMed

Insights

Button battery ingestion in children requires urgent diagnosis and management. Delayed complications like vocal cord palsy can occur, emphasizing the need for public awareness and standardized care protocols.

Area of Science:

  • Pediatric Gastroenterology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Button battery ingestion is a critical pediatric emergency.
  • Early symptoms can be non-specific, leading to delayed presentation.

Observation:

  • A 14-month-old girl presented with choking, vomiting, stridor, and respiratory distress after ingesting a button battery.
  • Radiography confirmed esophageal button battery; emergency removal was successful.
  • The patient developed delayed complications including stridor, voice changes, aspiration pneumonia, bilateral vocal cord palsy, and cricoarytenoid fibrosis.

Findings:

  • Esophageal button battery ingestion can lead to severe, delayed airway complications.
  • Vocal cord palsy and cricoarytenoid fibrosis are potential sequelae.
  • Standardized management protocols are crucial for optimal outcomes.

Implications:

  • Increased public awareness regarding the dangers of button battery ingestion is vital.
  • Prompt diagnosis and endoscopic removal are essential.
  • Long-term follow-up is necessary to detect and manage latent complications.

Keywords:
bilateral vocal cord paralysiscaustic ingestion injuryelectromyography (emg)paediatric otorhinolaryngologypaediatric surgery

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