We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Observation |

Misdiagnosis of a Tracheal Foreign Body of Decades-Long Duration ONLINE FIRST

Peter J. Ciolek, MD1; Robert R. Lorenz, MD1
[+] Author Affiliations
1Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, Ohio
JAMA Otolaryngol Head Neck Surg. Published online August 18, 2016. doi:10.1001/jamaoto.2016.2050
Text Size: A A A
Published online


This case report describes a woman in her 40s with a partially obstructive lesion in the subglottis and tracheal ring found to be attributed to a retained tracheal foreign body from early childhood.

Foreign body (FB) aspiration is a life-threatening situation that accounts for approximately 4800 deaths per year in the United States.1 In cases of nonasphyxiating FBs, symptoms may be more indolent and diagnosis can be significantly delayed. We describe a unique scenario of a retained tracheal FB.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Figure 1.
Computed Tomographic (CT) Images of Neck

Computed tomographic images with contrast demonstrating an obliquely oriented lesion spanning the proximal trachea. A, Axial view; B, coronal view.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
Preextraction and Postextraction of Foreign Body (FB)

A, View of the subglottis with a 0 degree Hopkins rod; B, perforated plastic disc from toy “tracer guns”; C, granulation tissue in the subglottis and proximal trachea after extraction of the FB.

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles