An occult laryngeal foreign body in a 2-year-old child: A case report

Mallouk, Sanaa; Bijou, Walid; Berrada, Omar; Oukessou, Youssef; Rouadi, Sami; Abada, R.; Roubal, M.; Mahtar, Mohamed

doi:10.1016/j.epsc.2020.101773

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Others have reported persistent laryngeal bodies. Mallouk et al reported on a two-year-old female who had mild hoarseness and stridor for five days because of a small plastic mesh material between her vocal cords [ 16 ]. Fraccaroli et al reported a case of a 13-month-old who was misdiagnosed with laryngospasm but then had worsening respiratory symptoms.…”

Section: Discussionmentioning

confidence: 99%

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge

Guerra,

Anderson,

Clausen

et al. 2024

Cureus

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Foreign body aspiration (FBA) is a significant cause of accidental death among children, with laryngeal FBA being relatively rare but potentially fatal due to airway obstruction. This report highlights a case of laryngeal FBA in an 11-month-old child, initially misdiagnosed as viral croup. Otolaryngological evaluation, particularly in the case of laryngeal FBA, may facilitate management.An 11-month-old male was brought to the emergency department, presenting with inspiratory stridor following a choking episode. A chest radiograph and CT scan of the chest were read as normal. He was suspected of having croup and treated with dexamethasone and racemic nebulized epinephrine, which led to temporary clinical improvement.The child returned with persistent stridor to the emergency department eight days after his initial visit, prompting an otolaryngological consultation. Flexible laryngoscopy ultimately identified a star-shaped sequin lodged in the glottis. The foreign body was successfully removed via direct laryngoscopy and bronchoscopy (DLB). Following the removal, the patient demonstrated significant improvement and eventually made a full recovery. This case emphasizes the difficulty in diagnosing laryngeal FBA due to its non-specific symptoms and the limitations of imaging techniques. The importance of a thorough clinical history, physical examination, and proper imaging combined with a high index of suspicion is crucial for early diagnosis and treatment. Additionally, the report discusses the potential for severe complications if diagnosis and treatment are delayed, highlighting the need for awareness and prompt intervention in suspected laryngeal FBA cases.

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Section: Discussionmentioning

confidence: 99%

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge

Guerra,

Anderson,

Clausen

et al. 2024

Cureus

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Hoarseness due to misdiagnosed and neglected laryngeal chicken bone impaction

Fortuno,

Cruz,

Fernandez

2023

JLV

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The objective of the study was to report a case of hoarseness in a child due to misdiagnosed and neglected laryngeal chicken bone impaction and to discuss its clinical manifestations, clinical course, ancillary procedures, and management. An 8-year-old female, was admitted with a 1-month history of chicken bone impaction in the glottic area. The patient noted foreign body sensation in the throat after eating rice porridge. She consulted and was discharged from a hospital since the chest and neck X-rays were unremarkable. A week later, she developed hoarseness, shortness of breath, and productive cough. A repeat chest X-ray was negative with a diagnosis of upper respiratory tract infection. Medications afforded no relief and the persistence of symptoms prompted consult at our institution. From the emergency department, she was brought to the operating room; however, she developed laryngospasm and desaturation, and hence, the procedure was postponed to the following day. Under general anesthesia, direct laryngoscopy showed a V-shaped chicken bone lodged in the glottic chink, which was removed with uneventful recovery.

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An occult laryngeal foreign body in a 2-year-old child: A case report

Cited by 2 publications

References 8 publications

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge

Laryngeal Foreign Body Aspiration in Infancy: A Diagnostic Challenge

Hoarseness due to misdiagnosed and neglected laryngeal chicken bone impaction

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