Button Battery Safety: Industry and Academic Partnerships to Drive Change

Otolaryngol Clin North Am. 2019 Feb;52(1):149-161. doi: 10.1016/j.otc.2018.08.009. Epub 2018 Oct 8.


The pediatric button battery (BB) hazard has been recognized for several decades. In 2012, the National Button Battery Task Force was established, and most manufacturers have improved warning labels, more secure packaging, and made BB compartments in products are more secure. Tissue neutralization before BB removal (ie, honey or sucralfate/Carafate®) is an effective way to reduce the rate of BB injury. In absence of visible perforation, 0.25% sterile acetic acid esophageal tissue irrigation at time of BB removal is recommended as a neutralization strategy to mitigate injury progression. Future BB design changes could eliminate esophageal tissue injury.

Keywords: Button battery; Coin cell battery; Disc battery; Esophageal; Foreign body; Injury prevention.

Publication types

  • Review

MeSH terms

  • Advisory Committees
  • Electric Power Supplies / adverse effects
  • Electric Power Supplies / standards*
  • Esophagus*
  • Foreign Bodies / etiology
  • Foreign Bodies / prevention & control*
  • Foreign Bodies / surgery*
  • Humans
  • Pediatrics
  • Product Labeling / standards