, Volume 191, Issue 3, pp 311-312
Date: 04 Apr 2013

An Unexpected Subglottic Foreign Body Diagnosed Two Years after Aspiration

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A 56-year-old patient came to our hospital seeking treatment for his long-lasting condition. He presented with marked stridor, use of accessory musculature for breathing, and difficulty sleeping due to dyspnea. Treatment for asthma that had been initiated approximately 2 years before had not improved his condition. Therefore, his previous physician ordered computed tomography of his trachea, which revealed submucosal thickening in the subglottic region and the cervical trachea and a high-density lesion that touched the wall and occupied the lumen (Fig. 1). The patient was referred for treatment with corticosteroids and antibiotics, which also did not improve his condition. Because he did not feel better, he had independently searched for other medical assistance over the preceding 18 months. Interestingly, the patient had been a heavy drinker for the past 30 years. He could not report the specific starting point of his symptoms but only that they had gradually worsened. Based on the ti ...