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Clinical Problem Solving: Radiology
April 2006

Radiology Quiz Case

Author Affiliations

University of Chicago Hospitals, Chicago, Ill

 

R. NICKBRYANMDPATRICIA A.HUDGINSMD

Arch Otolaryngol Head Neck Surg. 2006;132(4):453. doi:10.1001/archotol.132.4.453

A 1-month-old boy with a history of prematurity, duodenal atresia, and multiple skin hemangiomas underwent flexible fiberoptic endoscopy for workup of mild inspiratory stridor, dysphagia, and aspiration. Previous videofluoroscopic evaluation of his swallowing function had demonstrated moderate oral aversion, poor laryngeal sensitivity, and aspiration. Flexible fiberoptic examination of his larynx demonstrated normal true vocal cord function, pooling of secretions, and an intra-arytenoid area, which was suggestive of a laryngeal cleft. Formal direct laryngoscopy and bronchoscopy were scheduled to further inspect his intra-arytenoid region.

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