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Radiology Forum
April 2001

Diagnosis Imaging Quiz Case 1

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Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Otolaryngol Head Neck Surg. 2001;127(4):455-456. doi:

The patient was taken to the operating room for elective direct laryngoscopy and bronchoscopy. A stony formation, which was found fixed to the posterior wall of the subglottic space, was visualized with the optical peanut forceps. It turned out to be an FB that had become wedged against the mucosa and had formed a mass of granulated tissue along its edges. The object, a 1.0 × 1.1-cm piece of nutshell, was seen with its convex side in contact with the wall (Figure 4). During the attempt to remove the nutshell, it broke into pieces, and a carbon dioxide laser was used to ablate the granulated tissue fragments. The remainder of the tracheobronchial tree was normal. The patient's clinical course was unremarkable, and she was discharged 2 days after surgery.

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