Case Report
Lithium Battery Ingestion: An Unusual Cause of Bilateral Cord Palsy
Table 1
Salient features of the cases with bilateral vocal cord palsy following lithium battery ingestion.
| Authors/year | Age/sex | Time before LB removal | Endoscopic findings at the time of removal | Observation of bilateral vocal cord palsy | Presentation of BLVC palsy in postoperative period | Postoperative course |
| (1) Nagao et al. (2007) [7] | 8 yrs/M
| 2 h | Erosion of postcricoids area | At day 12 | Respiratory distress | No complication | (2) Bernstein et al. (2007) [6] | 11 mth/F | 5 h | Erosion of ant and lateral walls of hypopharynx | At day 6 | Respiratory distress | Stridor with enteral feeding | (3) Hamilton et al. (2009) [5] | 9 mth/F | NR | Erosion of the esophagus | At day 28 | Respiratory distress | Supraglottoplasty with enteral feeding | (4) Simonin et al. (2013) [4] | 16 mth/M | 48 h | Erosion of oesophageal mucosa | At day 3 | Respiratory distress | Posterior cordotomy with enteral feeding | (5) This case (2014) | 10 mth/M | 48 h | Erosion at the cricopharynx area | At day 60 | Delayed respiratory distress | Tracheostomy |
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Key: BLVC: bilateral vocal cord palsy, yrs: years, mth: months, M: male, F: female, h: hours, and NR: not recorded.
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