A Chronic Glottic Foreign Body Diagnosed by Radiograph after 9 Months of Symptoms

Rosenthal, León; Smith-Bronstein, Virginia; Cervantes, Santino; Schroeder, James W.

doi:10.1155/2018/4718428

Cited by 3 publications

(2 citation statements)

References 8 publications

(17 reference statements)

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“…This led to a DLB being performed, where it was discovered that the patient had aspirated small paper fragments [17]. Rosenthal et al reported a case of a six-year-old girl with intermittent stridor, difficulty breathing, and hoarseness for nine months due to an embedded laryngeal foreign body [18].…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge

Guerra,

Anderson,

Clausen

et al. 2024

Cureus

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Foreign body aspiration (FBA) is a significant cause of accidental death among children, with laryngeal FBA being relatively rare but potentially fatal due to airway obstruction. This report highlights a case of laryngeal FBA in an 11-month-old child, initially misdiagnosed as viral croup. Otolaryngological evaluation, particularly in the case of laryngeal FBA, may facilitate management.An 11-month-old male was brought to the emergency department, presenting with inspiratory stridor following a choking episode. A chest radiograph and CT scan of the chest were read as normal. He was suspected of having croup and treated with dexamethasone and racemic nebulized epinephrine, which led to temporary clinical improvement.The child returned with persistent stridor to the emergency department eight days after his initial visit, prompting an otolaryngological consultation. Flexible laryngoscopy ultimately identified a star-shaped sequin lodged in the glottis. The foreign body was successfully removed via direct laryngoscopy and bronchoscopy (DLB). Following the removal, the patient demonstrated significant improvement and eventually made a full recovery. This case emphasizes the difficulty in diagnosing laryngeal FBA due to its non-specific symptoms and the limitations of imaging techniques. The importance of a thorough clinical history, physical examination, and proper imaging combined with a high index of suspicion is crucial for early diagnosis and treatment. Additionally, the report discusses the potential for severe complications if diagnosis and treatment are delayed, highlighting the need for awareness and prompt intervention in suspected laryngeal FBA cases.

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Section: Discussionmentioning

confidence: 99%

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge

Guerra,

Anderson,

Clausen

et al. 2024

Cureus

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“…A flexible fibre optic laryngoscopy (FFL) was performed through her nose as the likelihood of a foreign body aspiration increased. Using a bronchoscope, a visible loop of rubber band was removed from the supraglottis [ 10 ]. Previous cases describe the variety of how foreign body aspiration can present with symptoms or asymptomatic, which makes establishing the diagnosis a little difficult.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of a Vocal Cord Foreign Body in an Infant: A Case Report

Bukhari¹,

Kabli²,

Alharthi³

et al. 2022

Cureus

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A foreign body (FB) is an object or item that is foreign to the area in which it is found. FB in the airway, accompanied by the esophagus, is a common overnight emergency in pediatric otolaryngology. Here we report a case of a healthy 11-month-old girl who presented in the emergency room with stridor and a weak cry. The patient was admitted as a case of croup (laryngotracheobronchitis) and treated with multiple antibiotics for more than five days but showed no improvement, then consulted the ear, nose, and throat team (ENT).

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Subglottic concretion masquerading as foreign body in a child with β thalassemia major: an airway nightmare!

et al. 2021

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Subglottic concretion is a rare and perilous condition usually presenting with existing or impending airway obstruction. Due to long-standing nature of the condition, slow progression of symptoms and rarity of occurrence, the condition is either missed or misdiagnosed. Its resemblance in presentation and symptoms to that of foreign body (FB) bronchus can lead to a diagnostic misadventure. Detailed history, chronology of symptoms and radiological imaging in conjunction with fiberoptic evaluation are keys for establishing correct diagnosis. Treatment outcomes in such cases depend on appropriate management approach with backup plan in tandem. We describe a child with β thalassemia major with subglottic concretion, which was erroneously diagnosed and managed as a case of subglottic FB due to its classical history and presentation. The aim is to highlight the circumstances leading to this diagnostic misadventure with emphasis on airway management, problems faced and lessons learnt during the same.

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A Chronic Glottic Foreign Body Diagnosed by Radiograph after 9 Months of Symptoms

Cited by 3 publications

References 8 publications

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge

A Rare Case of a Vocal Cord Foreign Body in an Infant: A Case Report

Subglottic concretion masquerading as foreign body in a child with β thalassemia major: an airway nightmare!

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