Septal perforations can arise from a variety of injuries to the nose. In the pediatric population children placing small objects in the nose is a common cause of injury to the nasal septum. In this case a lithium battery from a small toy was placed in the nose. The battery went undiagnosed for three days and began to leak, eroding through the septum lining and cartilage, leaving the child with a septal perforation.
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