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We report a patient who developed bilateral vocal cord palsy following button battery ingestion. A two and half year old girl presented with a history of button battery ingestion. Rigid oesophagoscopy was performed within 3 hours. Patient developed post extubation stridor with respiratory distress. Bilateral vocal cord palsy is a rare complication of button battery ingestion which can lead to an airway catastrophe. Decision on timing of extubation is crucial to avoid immediate post-operative  respiratory distress. Expedited removal of lodged button battery, increased vigilance for possible complications and long term follow up is of utmost importance.

sri lankan journal of anaesthesiology/sri lanka journal of anaesthesiology

Post extubation stridor due to bilateral vocal cord palsy following button battery ingestion – A rare and forgotten complication of button battery ingestion in children