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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
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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.

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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.

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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.

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