Foreign body impaction of the hard palate: tabletop party confetti mimicking button batteries in two infants.

Diagnostic errors Electrical equipment and supplies Emergency service Foreign bodies Hard Hospital Palate

Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Jun 2023
Historique:
received: 24 02 2023
accepted: 17 03 2023
medline: 15 5 2023
pubmed: 31 3 2023
entrez: 30 3 2023
Statut: ppublish

Résumé

We present the first two cases in the literature of tabletop party confetti mimicking button batteries in two infants. Both patients presented to the Emergency Department with an incidentally noticed shiny, metallic appearing, disc-shaped foreign body impacted in the hard palate. Both objects were understandably misdiagnosed as button batteries. The first patient required foreign body retrieval by ENT under general anaesthesia, whilst the second underwent retrieval safely in the Emergency Department. Tabletop party confetti should be considered in patients presenting with a suspected button battery impaction of the hard palate, which will drastically change the approach to clinical management and potentially minimise harms.

Identifiants

pubmed: 36997803
doi: 10.1007/s00405-023-07935-9
pii: 10.1007/s00405-023-07935-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3023-3026

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

McRae D, Premachandra DJ, Gatland DJ (1989) Button batteries in the ear, nose and cervical esophagus: a destructive foreign body. J Otolaryngol 18(6):317–319
pubmed: 2685341
Conners GP, Mohseni M (2020) Pediatric foreign body ingestion. In Treasure Island (FL)
Semple T, Calder AD, Ramaswamy M, McHugh K (2018) Button battery ingestion in children-a potentially catastrophic event of which all radiologists must be aware. Br J Radiol 91(1081):20160781
doi: 10.1259/bjr.20160781 pubmed: 28830198
Khalaf M, Smaily H, Rassi S (2019) Pediatric hard palate foreign bodies: case report and Systematic review of the literature. Int J Pediatr Otorhinolaryngol 127:109654
doi: 10.1016/j.ijporl.2019.109654 pubmed: 31450169
Halka J, Zhao X, Kasten SJ (2017) Reflecting on a foreign body of the hard palate. J Craniofac Surg 28(3). Available from: https://journals.lww.com/jcraniofacialsurgery/Fulltext/2017/05000/Reflecting_on_a_Foreign_Body_of_the_Hard_Palate.83.aspx

Auteurs

Rohan Pinto (R)

ENT Department, Alder Hey Children's NHS Foundation Trust, E Prescot Rd, Liverpool, L14 5AB, Merseyside, UK.

Thomas Hampton (T)

ENT Department, Alder Hey Children's NHS Foundation Trust, E Prescot Rd, Liverpool, L14 5AB, Merseyside, UK. thomas.hampton@nhs.net.
Institute of Life Course and Medical Sciences, University of Liverpool, Brownlow Hill, Liverpool, L69 3BX, Merseyside, UK. thomas.hampton@nhs.net.
Department of Clinical Sciences, Liverpool School of Tropical Medicine, Pembroke Pl, Liverpool, L3 5QA, Merseyside, UK. thomas.hampton@nhs.net.

Su De (S)

ENT Department, Alder Hey Children's NHS Foundation Trust, E Prescot Rd, Liverpool, L14 5AB, Merseyside, UK.

Adam Donne (A)

ENT Department, Alder Hey Children's NHS Foundation Trust, E Prescot Rd, Liverpool, L14 5AB, Merseyside, UK.

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