title: Bilateral vocal palsy following coin cell lithium battery ingestion: a case report and review.
abstract: Button battery ingestion in children is not a rare occurrence and may be unwitnessed and can be soon life-threatening or responsible for severe sequelae. We report herein an original history of previously healthy 16-month-old boy with an unwitnessed and misdiagnosis of lithium cell coin battery ingestion which leads to bilateral vocal palsy. The patient underwent a unilateral posterior cordotomy and was successfully extubated.
  
  
  CONCLUSIONS
  Early recognition of a lithium cell coin battery for rapid removal, even if insufficient at first, is the main condition to limit complications. Unusual upper respiratory distress in a young child should alert practitioners in performing a chest and neck X-ray without undue delay.
authors.affiliation: Service de Réanimation Chirurgicale Pédiatrique, Hôpital Necker Enfants-Malades, Assistance Publique- Hôpitaux de Paris, Faculté de Médecine, Université Paris-Descartes, 149, Rue de Sèvres, 75743 Paris Cedex 15, France.
authors.forename: Mathieu
authors.initials: M
authors.lastname: Simonin
authors.forename: Irène
authors.initials: I
authors.lastname: D'Agostino
authors.forename: Mélanie
authors.initials: M
authors.lastname: Lebreton
authors.forename: Olivier
authors.initials: O
authors.lastname: Jughon
authors.forename: Jamil
authors.initials: J
authors.lastname: Hamza
authors.forename: Mehdi
authors.initials: M
authors.lastname: Oualha
mesh_terms: D003440:Croup / Q000175:diagnosis; D003951:Diagnostic Errors; D011211:Electric Power Supplies; D004947:Esophagus / Q000000981:diagnostic imaging*; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D008297:Male; D011859:Radiography; D014826:Vocal Cord Paralysis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014827:Vocal Cords / Q000601:surgery*