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Migrating laryngeal foreign body

Tarek Eldesoky1, Yasser Khafagy, Engy Osman

  • 1Pediatric Allergy, Respiratory and Clinical Immunology Unit, Faculty of Medicine, Mansoura University, Egypt. tarekdag@mans.edu.eg

Journal of Bronchology & Interventional Pulmonology
|November 22, 2012
PubMed

Insights

A migrating foreign body caused a 6-year-old boy's stridor and breathing difficulty. Removal led to polyp resolution and full recovery, highlighting the need for endobronchial exams in such cases.

Area of Science:

  • Pediatric Pulmonology
  • Otolaryngology
  • Emergency Medicine

Background:

  • Stridor and respiratory distress in children can stem from various causes, including inflammatory laryngeal changes.
  • Unexplained laryngeal polyps and granulation tissue may indicate an underlying, less common etiology.
  • Foreign body aspiration is a frequent cause of pediatric respiratory distress, though laryngeal impaction is rare.

Purpose of the Study:

  • To report a unique case of stridor caused by a migrating laryngeal foreign body in a pediatric patient.
  • To emphasize the importance of considering foreign body aspiration in cases of unexplained laryngeal pathology.
  • To highlight the diagnostic and therapeutic role of bronchoscopy in such scenarios.

Main Methods:

  • Case report of a 6-year-old boy with a 2-month history of stridor and respiratory difficulty.
  • Diagnostic evaluation included physical examination, laryngoscopy, and bronchoscopy.
  • Intervention involved foreign body extraction via bronchoscopy and subsequent follow-up.

Main Results:

  • Laryngoscopy revealed laryngeal polyps and granulation tissue causing significant narrowing.
  • Bronchoscopy identified a foreign body in the left main bronchus, which was subsequently removed.
  • Post-extraction, repeat bronchoscopy showed near-complete resolution of laryngeal inflammatory changes.
  • The patient's stridor and respiratory distress resolved, and the tracheostomy tube was removed.

Conclusions:

  • This is the first reported case of stridor attributed to a migrating laryngeal foreign body.
  • Unexplained laryngeal polyps and granulation tissue in children warrant a thorough endobronchial examination.
  • Prompt diagnosis and removal of foreign bodies can lead to complete resolution of associated laryngeal pathology.

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