Injury Mechanism of Button Batteries in the Nasal Cavity and Possible Mitigation Strategies During Impaction

2020 ◽  
Vol 130 (10) ◽  
pp. 2487-2493 ◽  
Author(s):  
Mehmet Eser Sancaktar ◽  
Cem Bayraktar ◽  
Mustafa Bakırtaş
Keyword(s):  
Nasal Cavity ◽  
Injury Mechanism ◽  
Mitigation Strategies ◽  
Button Batteries

scholarly journals Droplet and Aerosol Generation With Endonasal Surgery: Methods to Mitigate Risk During the COVID-19 Pandemic

2020 ◽  
pp. 019459982094980
Author(s):  
Harish Dharmarajan ◽  
Monika E. Freiser ◽  
Edward Sim ◽  
Devi Sai Sri Kavya Boorgu ◽  
Timothy E. Corcoran ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
3D Model ◽  
Cascade Impactor ◽  
Mitigation Strategies ◽  
Mitigation Measures ◽  
Endonasal Surgery ◽  
Fluorescent Tracer ◽  
3 Dimensional ◽  
Aerosol Generation ◽  
3D Printed

Objective To define the aerosol and droplet risks associated with endonasal drilling and to identify mitigation strategies. Study Design Simulation series with fluorescent 3-dimensional (3D) printed sinonasal models and deidentified cadaveric heads. Settings Dedicated surgical laboratory. Subjects and Methods Cadaveric specimens irrigated with fluorescent tracer and fluorescent 3D-printed models were drilled. A cascade impactor was used to collect aerosols and small droplets of various aerodynamic diameters under 15 µm. Large droplet generation was measured by evaluating the field for fluorescent debris. Aerosol plumes through the nares were generated via nebulizer, and mitigation measures, including suction and SPIWay devices, nasal sheaths, were evaluated regarding reduction of aerosol escape from the nose. Results The drilling of cadaveric specimens without flexible suction generated aerosols ≤3.30 µm, and drilling of 3D sinonasal models consistently produced aerosols ≤14.1 µm. Mitigation with SPIWay or diameter-restricted SPIWay produced same results. There was minimal field contamination in the cadaveric models, 0% to 2.77% field tarp area, regardless of drill burr type or drilling location; cutting burr drilling without suction in the 3D model yielded the worst contamination field (36.1%), followed by coarse diamond drilling without suction (19.4%). The simple placement of a flexible suction instrument in the nasal cavity or nasopharynx led to complete elimination of all aerosols ≤14.1 µm, as evaluated by a cascade impactor positioned immediately at the nares. Conclusion Given the findings regarding aerosol risk reduction, we strongly recommend that physicians use a suction instrument in the nasal cavity or nasopharynx during endonasal surgery in the COVID-19 era.

scholarly journals Three cases of the foreign bodies of button batteries in the nasal cavity.

1985 ◽  
Vol 88 (7) ◽  
pp. 920-925 ◽  
Author(s):  
YOHKO SATO ◽  
KOHSEI OHTSUKI ◽  
IWAO OHTANI ◽  
JIN OUCHI ◽  
KOHICHI TOYOMASU ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Foreign Bodies ◽  
Button Batteries

scholarly journals An Interesting Case of Button Battery causing Septal Perforation

2017 ◽  
Vol 10 (1) ◽  
pp. 22-24
Author(s):  
Sonia Arora ◽  
Harvinder Kumar
Keyword(s):  
Nasal Cavity ◽  
Foreign Bodies ◽  
Early Recognition ◽  
Interesting Case ◽  
Nasal Discharge ◽  
Age Group ◽  
Septal Perforation ◽  
Button Battery ◽  
Pediatric Age Group ◽  
Button Batteries

ABSTRACT Button batteries presenting as foreign bodies in the nasal cavity are rarely seen but common in pediatric age group. They are hazardous due to the extensive nature of damage caused by them. In this study, we discuss the case of a child with impacted button battery in the nasal cavity. A 7-year-old boy presented with bilateral foul-smelling nasal discharge since 6 months. It was purulent, yellowish-green, often blood stained. Radiograph showed evidence of a button battery in the left nostril. The foreign body was removed endoscopically and it was found that there was a perforation in the nasal septum. Early recognition and management is the key to prevention of complications due to foreign bodies, especially corrosive type. How to cite this article Seth S, Kumar H. An Interesting Case of Button Battery causing Septal Perforation. Clin Rhinol An Int J 2017;10(1):22-24.

Nasal Cavity and Paranasal Sinus Lesions: A Frequent Diagnostic Problem

Skull Base ◽  
2007 ◽  
Vol 16 (S 2) ◽  
Author(s):  
Xenophon Kochilas ◽  
Thomas Nikolopoulos ◽  
Theodora Nasiopoulou ◽  
Aikaterini Kiprouli ◽  
Michael Androulakis ◽  
...  
Keyword(s):  
Nasal Cavity ◽  
Paranasal Sinus ◽  
Diagnostic Problem
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