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Roger V. Moukarbel, MD; Marwan Youssef, MD; Nina Shab, MD; Abdul-Latif Hamdan, MD
American University of Beirut Medical Center, Beirut, Lebanon

Arch Otolaryngol Head Neck Surg. 2004;130:1438.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 56-year-old woman was seen in the emergency department for stridor and severe respiratory distress. She reported progressive dyspnea and hoarseness of a few months’ duration associated with dysphagia and odynophagia. The patient is a heavy smoker, is not an alcoholic, and has been treated for asthma since the initiation of her symptoms. Her medical history is notable for Graves disease, which was surgically treated by total thyroidectomy 20 years ago. The thyroidectomy was complicated by unilateral vocal cord paralysis, for which she received Teflon (DuPont, Wilmington, Del) injections. Fiberoptic nasopharyngeal laryngoscopy showed a left transglottic submucosal mass extending to the subglottic region and fixing the left true cord. Findings from the remainder of the head and neck examination were negative. Results of blood studies were negative. Computed tomography of the neck showed a large mass involving . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2004;130(12):1440.
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