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Thin laryngeal foreign bodies in infants: diagnostic potential of MDCT

A laryngeal foreign body (FB) is a significant, life‐threatening event in the paediatric population. Incomplete airways obstruction by a thin, laminar, radiolucent FB lodged in the glottis or supraglottis is a rare occurrence that may present with non‐specific symptoms, absence of chest findings, an...

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Autores principales: Concerto, Antonella, Cavallaro, Marco, Visalli, Carmela, Bagnato, Anna Maria, Barbaro, Ugo, Salamone, Ignazio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5813252/
https://www.ncbi.nlm.nih.gov/pubmed/29456862
http://dx.doi.org/10.1002/rcr2.301
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author Concerto, Antonella
Cavallaro, Marco
Visalli, Carmela
Bagnato, Anna Maria
Barbaro, Ugo
Salamone, Ignazio
author_facet Concerto, Antonella
Cavallaro, Marco
Visalli, Carmela
Bagnato, Anna Maria
Barbaro, Ugo
Salamone, Ignazio
author_sort Concerto, Antonella
collection PubMed
description A laryngeal foreign body (FB) is a significant, life‐threatening event in the paediatric population. Incomplete airways obstruction by a thin, laminar, radiolucent FB lodged in the glottis or supraglottis is a rare occurrence that may present with non‐specific symptoms, absence of chest findings, and normal radiographic investigations, resulting in misdiagnosis, delay in diagnosis, or prolonged recovery. We report two cases of 10‐month‐old male infants, each with a thin radiolucent FB lodged between the vocal folds that was detected with low‐dose multidetector computed tomography (MDCT) and thin‐slice reconstruction. Both infants presented with symptoms of respiratory airway inflammation at clinical examination and negative neck and chest radiographs. FBs were removed by direct laryngoscopy, without complications. In our experience, low‐dose MDCT with thin‐slice reconstruction is particularly useful for diagnosis in cases of suspected FB aspiration with uncertain clinical presentation and negative radiographic exams.
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spelling pubmed-58132522018-02-16 Thin laryngeal foreign bodies in infants: diagnostic potential of MDCT Concerto, Antonella Cavallaro, Marco Visalli, Carmela Bagnato, Anna Maria Barbaro, Ugo Salamone, Ignazio Respirol Case Rep Case Reports A laryngeal foreign body (FB) is a significant, life‐threatening event in the paediatric population. Incomplete airways obstruction by a thin, laminar, radiolucent FB lodged in the glottis or supraglottis is a rare occurrence that may present with non‐specific symptoms, absence of chest findings, and normal radiographic investigations, resulting in misdiagnosis, delay in diagnosis, or prolonged recovery. We report two cases of 10‐month‐old male infants, each with a thin radiolucent FB lodged between the vocal folds that was detected with low‐dose multidetector computed tomography (MDCT) and thin‐slice reconstruction. Both infants presented with symptoms of respiratory airway inflammation at clinical examination and negative neck and chest radiographs. FBs were removed by direct laryngoscopy, without complications. In our experience, low‐dose MDCT with thin‐slice reconstruction is particularly useful for diagnosis in cases of suspected FB aspiration with uncertain clinical presentation and negative radiographic exams. John Wiley & Sons, Ltd 2018-02-15 /pmc/articles/PMC5813252/ /pubmed/29456862 http://dx.doi.org/10.1002/rcr2.301 Text en © 2018 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial (http://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Concerto, Antonella
Cavallaro, Marco
Visalli, Carmela
Bagnato, Anna Maria
Barbaro, Ugo
Salamone, Ignazio
Thin laryngeal foreign bodies in infants: diagnostic potential of MDCT
title Thin laryngeal foreign bodies in infants: diagnostic potential of MDCT
title_full Thin laryngeal foreign bodies in infants: diagnostic potential of MDCT
title_fullStr Thin laryngeal foreign bodies in infants: diagnostic potential of MDCT
title_full_unstemmed Thin laryngeal foreign bodies in infants: diagnostic potential of MDCT
title_short Thin laryngeal foreign bodies in infants: diagnostic potential of MDCT
title_sort thin laryngeal foreign bodies in infants: diagnostic potential of mdct
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5813252/
https://www.ncbi.nlm.nih.gov/pubmed/29456862
http://dx.doi.org/10.1002/rcr2.301
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