Delayed and Unusual Presentation of Impacted Laryngeal Foreign Body in Adult

Abstract

Laryngeal foreign body is very rare in sane adults. Diagnosis is mostly achieved by high index of suspicion and clinico-radiological examinations. Delayed presentation pose a high risk of complications and also presents a challenge to both otolaryngologists and anaesthiologists. Prompt intervention is all that is needed to avoid morbidity and/or mortality. We report a case of delayed and unusual presentation of impacted laryngeal foreign body in a 35 year old man presenting with unremitting hoarseness for 3 months.

An Unusual Presentation of Impacted Laryngeal Foreign Body in an Adult

“…As usual practice an elective tracheostomy will be performed before extracting the foreign body in upper airway. Emergency or elective tracheostomy should be done in order to prevent any intraoperative or postoperative catastrophic event in view of presence of the edematous mucosa surroundings due to the impacted foreign body itself or due to manipulation of foreign body removal [7] . However, we did not perform tracheostomy in our case due to there is no edematous surrounding mucosa and patient was not in distress provided the vital signs also stable.…”