Bilateral button cell batteries in nose in a toddler: a case report

Background: Foreign body in bilateral nostril is very uncommon more so the button cell battery which can lead on to septal perforation because of necrosis on both sides of septum. Authors report neglected button cell batteries in both nostrils in a toddler, which was initially tried for spontaneous expulsion by parents. Method: A two-year-old child presented with pain, bilateral nasal obstruction and thick discharge in the nose. After radiological investigation diagnosis was made and one button cell battery from each nostril was removed by pediatric rigid endoscopy without any complications. Result: The removed foreign bodies were button cells. The mucosa of septum and turbinate was ulcerated. After removal bilateral nasal cavity was irrigated with saline fortified with amikacin antibiotics. Conclusion: Button cells batteries should be removed cautiously to prevent slippage in nasopharynx and further in aerodigestive tract to avoid the more serious consequences down there.