@article{ref1,
title="Assault by battery: battery-related injury in the head and neck",
journal="Laryngoscope",
year="2014",
author="Svider, Peter F. and Johnson, Andrew P. and Folbe, Adam J. and Carron, Michael A. and Eloy, Jean Anderson and Zuliani, Giancarlo",
volume="124",
number="10",
pages="2257-2261",
abstract="OBJECTIVES: To estimate nationwide incidence of emergency department (ED) visits for battery-related injury (BRI) occurring in the head and neck, and analyze demographic and anatomic-specific trends. <br><br>METHODS: The National Electronic Injury Surveillance System (NEISS) was searched for BRI in the head and neck, with analysis for incidence, anatomic site, age and gender, and specific diagnoses. <br><br>RESULTS: There were an estimated 18,803 head and neck BRI ED visits from 2003-2012. 65.8% of patients were male. 92.8% of patients were treated/examined then released, and 4.7% were admitted. A plurality (34.2%) of patients had BRI related to nose injures, and this represented the youngest cohort (Median-3 years old). The vast majority of ear and nose diagnoses were &quot;foreign bodies&quot;; 2/3 of mouth injuries were related to burns, while lacerations predominated in the face and head. Nearly half of ED visits involved patients between 2 and 5 years of age. 45.2% of cases involving patients ≥ 65-years-old were related to hearing aid batteries as foreign bodies. <br><br>CONCLUSION: BRI in the head and neck results in a significant amount of ED visits. Mechanisms of injury vary by age and anatomic location, but a considerable male predilection exists. While pediatric patients are primarily affected, particularly patients between 2-5 years old, injuries do occur among adults. Importantly, the prevalence of dislodged hearing-aid batteries in the elderly necessitates comprehensive patient education to increase awareness and counseling regarding this complication. Awareness of demographic and anatomic-specific trends reported in this analysis may be an invaluable adjunct for history-taking and clinical-examination.<p /> <p>Language: en</p>",
language="en",
issn="0023-852X",
doi="10.1002/lary.24686",
url="http://dx.doi.org/10.1002/lary.24686"
}