A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old Woman
Objective: To present a case of subglottic foreign body (FB) impaction in a 50-year-old woman diagnosed with bronchial asthma for 15 years. Methods: Design: Case Report Setting: Tertiary Public Hospital Patient: One Results: A 50-year-old woman with r...
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Philippine Society of Otolaryngology-Head and Neck Surgery, Inc.
2016-11-01
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doaj-f730d07dcadc45b181164b7c13882f9a2020-11-25T01:52:45ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012016-11-0131210.32412/pjohns.v31i2.239A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old WomanDonnie Jan D. Segocio0Christine D. Dayanghirang1Joseph E. Cachuela2Department of Otorhinolaryngology Head and Neck Surgery Southern Philippines Medical Center Davao City 8000 PhilippinesDepartment of Otorhinolaryngology Head and Neck Surgery Southern Philippines Medical Center Davao City 8000 PhilippinesDepartment of Otorhinolaryngology Head and Neck Surgery Southern Philippines Medical Center Davao City 8000 Philippines Objective: To present a case of subglottic foreign body (FB) impaction in a 50-year-old woman diagnosed with bronchial asthma for 15 years. Methods: Design: Case Report Setting: Tertiary Public Hospital Patient: One Results: A 50-year-old woman with recurrent cough and dyspnea for 15 years that had been managed as bronchial asthma, developed stridor and halitosis in the last 5 years. Flexible laryngoscopy revealed a subglottic mass and CT scan confirmed a suspicious foreign body in the lumen of the subglottis. Signs and symptoms resolved after peroral endoscopic removal of the foreign body from the larynx. Histopathology of the extracted material from the airway confirmed it to be “bone tissue.” Conclusion: Foreign body aspiration can occur in adults without predisposing factors. Its diagnosis can be challenging as it can mimic respiratory disorders such as bronchial asthma. Endoscopy and computed tomography are valuable for correct diagnosis and management. An incorrect initial diagnosis should be considered in the light of unresolved symptoms and prompt referral to an appropriate specialist may prevent undue suffering and dangerous complications. Keywords: foreign body aspiration, occult airway foreign body https://pjohns.pso-hns.org/index.php/pjohns/article/view/239foreign body aspiration, occult airway foreign body |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Donnie Jan D. Segocio Christine D. Dayanghirang Joseph E. Cachuela |
spellingShingle |
Donnie Jan D. Segocio Christine D. Dayanghirang Joseph E. Cachuela A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old Woman Philippine Journal of Otolaryngology Head and Neck Surgery foreign body aspiration, occult airway foreign body |
author_facet |
Donnie Jan D. Segocio Christine D. Dayanghirang Joseph E. Cachuela |
author_sort |
Donnie Jan D. Segocio |
title |
A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old Woman |
title_short |
A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old Woman |
title_full |
A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old Woman |
title_fullStr |
A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old Woman |
title_full_unstemmed |
A 15-Year Occult Foreign Body in the Subglottic Area of A 50-Year-Old Woman |
title_sort |
15-year occult foreign body in the subglottic area of a 50-year-old woman |
publisher |
Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. |
series |
Philippine Journal of Otolaryngology Head and Neck Surgery |
issn |
1908-4889 2094-1501 |
publishDate |
2016-11-01 |
description |
Objective:
To present a case of subglottic foreign body (FB) impaction in a 50-year-old woman diagnosed with bronchial asthma for 15 years.
Methods:
Design: Case Report
Setting: Tertiary Public Hospital
Patient: One
Results: A 50-year-old woman with recurrent cough and dyspnea for 15 years that had been managed as bronchial asthma, developed stridor and halitosis in the last 5 years. Flexible laryngoscopy revealed a subglottic mass and CT scan confirmed a suspicious foreign body in the lumen of the subglottis. Signs and symptoms resolved after peroral endoscopic removal of the foreign body from the larynx. Histopathology of the extracted material from the airway confirmed it to be “bone tissue.”
Conclusion: Foreign body aspiration can occur in adults without predisposing factors. Its diagnosis can be challenging as it can mimic respiratory disorders such as bronchial asthma. Endoscopy and computed tomography are valuable for correct diagnosis and management. An incorrect initial diagnosis should be considered in the light of unresolved symptoms and prompt referral to an appropriate specialist may prevent undue suffering and dangerous complications.
Keywords: foreign body aspiration, occult airway foreign body
|
topic |
foreign body aspiration, occult airway foreign body |
url |
https://pjohns.pso-hns.org/index.php/pjohns/article/view/239 |
work_keys_str_mv |
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