Ein gefährlicher Nasenfremdkörper: die Knopfzellenbatterie

Zusammenfassung

Knopfzellenbatterien als inkorporierte Nasenfremdkörper können zu schwersten Schädigungen des endonasalen Mukoperichondriums, bis hin zu Nekrosen des Septumknorpels und konsekutiver Septumperforation führen. Ein derartiger Fall wird in dieser Arbeit am Beispiel eines 4œ-jährigen Jungen vorgestellt. Alleine die Akutbehandlung zur Abheilung der Entzündung und die Abtragung der Nekrosen erforderte hierbei einen erheblichen medizinischen Aufwand, ganz abgesehen von eventuellen künftig erforderlichen rekonstruktiven Maßnahmen. Aus diesen Erfahrungen sollte die Konsequenz gezogen werden, insbesondere eine inkorporierte Batterie-Knopfzelle als HNO-ärztlichen Notfall anzusehen und eine unverzügliche Entfernung anzustreben.

Abstract

The effects of an incorporated button battery as a nasal foreign body with regard to the endonasal structures are serious. The following case report will illustrate this on the case of a 4œ-year old boy.

The acute treatment consisted of the removal of the battery and the debridement of the necroses. Already these measures required considerable medical expenditure. Reconstructive measures which may be needed in the future, will also require a lot of resources.

Button batteries as incorporated nasal foreign bodies can lead to severe damage to the endonasal mucoperichondrium. It can lead to necrosis of the nasal septum cartilage and to consecutive nasal septum perforation.

Based on these experiences and a review of literature, the conclusions should be drawn that an incorporated button battery should be considered as an ENT emergency case and the immediate removal of the foreign body should be striven for.

Schlüsselwörter

Knopfzellenbatterie - Energiequellen - Fremdkörper - Nase - Septumperforation

Key words

button battery - disk battery - foreign body incorporation - nose - septal perforations

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