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  Vol. 130 No. 8, August 2004 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 1—Diagnosis

Arch Otolaryngol Head Neck Surg. 2004;130:998-999.

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

Diagnosis: Tracheal foreign body (FB)

Because the cause of the patient's recurrent croup was unknown, a diagnostic laryngobronchoscopy was performed. Intraoperatively, the oral cavity, base of tongue, epiglottis, vallecula, larynx, and vocal cords were found to be normal. An FB was noted in the subglottis (Figure 2). The FB appeared to be tightly lodged in the subglottic area, with surrounding inflammatory granulations (Figure 3). On removal, it was identified as a triangular-shaped chicken bone (Figure 4). Because of the chronic inflammation and the edema, both of which were caused by the FB, the subglottic airway was narrowed by 40%. After the FB was removed, the symptoms cleared. The patient recovered uneventfully and had no further respiratory complaints.


 
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Figure 2.



 
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Figure 3.



 
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Figure 4.


It has been well documented that when a patient presents with a history of "stubborn bronchitis"1 or recurrent croup,2 the physician should be aware that the . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case 1
Kenny Peter Pang, Kun Kiaang Henry Tan, and How Ming Tan
Arch Otolaryngol Head Neck Surg. 2004;130(8):996.
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