Sir.—We read with interest the article by Gay et al1 on subglottic foreign bodies in pediatric patients. All of their patients had either wheezing or respiratory distress in addition to other clinical features such as stridor, cough, and voice change. We report our experience with a case of a laryngeal foreign body lodged in the laryngeal wall just lateral to the left vocal cord, causing temporary paralysis of the cord. The only clinical signs were hoarseness and stridor.
Patient Report.—A 3-year-old male infant was admitted to our pediatric department because of hoarseness. According to his parents, the child, while eating un-shelled sunflower seeds, suddenly became pale, had a cough attack lasting a few seconds, and, immediately thereafter, lost his voice. The physical examination on admission revealed a well-developed child without cyanosis or respiratory distress. The temperature was 37°C. The only physical sign was the hoarseness. No abnormal
HANUKOGLU A, FRIED D, SEGAL S. Loss of Voice as Sole Symptom of Subglottic Foreign-Body Aspiration. Am J Dis Child. 1986;140(10):973. doi:10.1001/archpedi.1986.02140240019012