Button battery impaction causes severe pediatric airway injuries: JAMA
CANADA: Button battery ingestion causes severe airway injuries, mainly tracheoesophageal fistulae and vocal fold paralysis in younger children, a study published in JAMA Otolaryngology Head Neck Surgery. Timely BB removal (often tracheostomy) decreases the devastating consequences of these injuries.
The past few decades have seen an increase in morbidity and mortality due to BB ingestion. Many major complications present weeks to months after BB removal. Button batteries (BBs) are commonly found in many households. It causes severe injury to children if ingested. The direct opposition of the trachea and recurrent laryngeal nerves with the esophagus and liquefactive necrotic effects of BB impactions puts children at risk of serious airway injury.
The present study was conducted by Justine Philteos, Department of Otolaryngology-Head and Neck Surgery, Toronto, and the team to analyze airway injuries after BB ingestion, to raise awareness, highlight management strategies, and develop protocols for prevention.
For this systematic review, a comprehensive strategy was designed to search MEDLINE, Embase, Cochrane Database of Systematic Reviews, Web of Science, and CINAHL (Cumulative Index of Nursing and Allied Health Literature) from inception to July 31, 2021. Additional cases were identified from the National Capital Poison Center BB registry and individual authors also gave additional information.
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