Button Battery as Foreign Body in Nasal Cavity-Case Series and Literature Review

鼻內電池異物－病例分析與文獻回顧

成存芝(Tsun-Chih Cheng) ； 劉景勳(Chiang-Shin Liu) ； 張展旗(Chan-Chi Chang)

《台灣耳鼻喉頭頸外科雜誌》 55卷1期 (2020/03) Pp. 21-26

https://doi.org/10.6286/jtohns.202003_55(1).021

摘要

BACKGROUND: Button batteries are very common. Unintentional placement of such a battery into the nasal cavity may cause irreversible problems if the battery is not immediately removed. This study discusses the clinical presentation and management of these foreign bodies and raises awareness regarding this hazard. METHODS: We retrospectively collected nine cases of button batteries as nasal foreign bodies from January 2010 to October 2019 in our department. The charts, laboratory examination results, and images were analyzed for each case. RESULTS: The average follow-up period was 4 weeks. The mean age was 3.29 years (range: 23-52 months). Most of the children (77.8%) had placed the button battery into the left nasal cavity. Four patients (44.4%) developed septal perforation. No other major complications were noted. CONCLUSIONS: Early diagnosis with prompt management is important for preventing lifelong sequela. For children presenting with brownish rusty-like nasal discharge or epistaxis, physicians should consider a nasal foreign body, especially a button battery.

關鍵字

button battery ； nasal foreign body ； septal perforation

並列摘要

背景：由於鈕扣電池的使用日趨廣泛，幼兒誤將其塞入鼻内的機會大幅提高，然而若無及時取出，可能會導致無法挽回之併發症。本研究整理本院鼻内電池異物之臨床表現及處理方法，輔以文獻回顧，提高醫師對此異物之敏銳度，以期盡早診斷與正確治療。方法：於2010年1月至2019年10月回溯性收集9名確診鼻內電池異物之病例。將其臨床症狀、血液檢查、影像學檢查、手術紀錄與相關病歷資料進行分析比較。結果：平均追蹤時間為4個禮拜，平均發生年齡為3.29歲，大部分孩童（77.8％）將電池塞入左側鼻腔，有4名（44.4％）病患出現鼻中膈穿孔，除此之外，並無發生其他重大併發症或後遺症。結論：早期診斷與盡早取出鼻内電池可避免長期併發症發生風險。對於幼兒出現黃褐色、鐵鏽樣之鼻涕或鼻出血之情況，應將鼻内電池異物納入鑑別診斷。

並列關鍵字

button battery ； nasal foreign body ； septal perforation（鈕扣電池 ； 鼻內異物 ； 鼻中膈穿孔）