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Laryngolith

Published online by Cambridge University Press:  08 January 2009

A H Hegab*
Affiliation:
Department of Otolaryngology, Head/Neck and Skull Base Surgery, Maadi Armed Forces Hospital, Cairo, Egypt
*
Address for Correspondence: Dr Amr H Hegab, Head, Department of Otolaryngology, Head/Neck and Skull Base Surgery, Maadi Armed Forces Hospital, Cairo, Egypt Fax: +20 2 25256324 E-mail: amr@[email protected]

Abstract

Objective:

To report an extremely rare and interesting case of a woman who developed a laryngeal stone.

Case report:

A 44-year-old woman was referred to our ENT clinic complaining of dyspnoea and stridor. She had been treated for chest problems for approximately 30 years. On examination, she had a large, spiky, subglottic lesion compromising the airway. A laryngeal computed tomography scan and histopathological and biochemical examination showed the lesion to be a calcium phosphate stone. Review of the literature from the past 50 years, using several search engines, revealed no similar cases.

Conclusion:

To the author's knowledge, this is a unique case of a stone that developed in the subglottis. This rare entity was the cause of long-standing chest problems unresponsive to medical treatment. The patient recovered completely from all her symptoms after removal of the laryngolith.

Keywords

Type
Online Only Clinical Records
Copyright
Copyright © JLO (1984) Limited 2009

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References

1Walter, JB, Israel, MS, eds. General Pathology, 6th edn.Edinburgh: Churchill Livingstone, 1987;629–35Google Scholar
2Vink, BW, Hasselt, PV, Warmald, R. A case of rhinolith in Botswana: a mineralogical, microscopic and chemical study. J Laryngol Otol 2002;116:1036–40CrossRefGoogle ScholarPubMed
3Benjamin, B, Bingham, B, Hawke, M, Stammberger, H. The oral cavity. In: Hawke, H, ed. A Colour Atlas of Otorhinolaryngology. London: Martin Dunitz, 1995;169222Google Scholar
4Work, WP, Hecht, DW. Inflammation and trauma of the salivary glands. In: Paparella, MM, Shumrick, DA, eds. Otolaryngology, 2nd edn.Philadelphia: WB Saunders, 1980;3:2235–43Google Scholar
5Schwartz, J. Mycoses. In: Paparella, MM, Shumrick, DA, eds. Otolaryngology, 2nd edn.Philadelphia: WB Saunders, 1980;1:616–29Google Scholar
6Baker, DC Jr, Karlan, MS. Laryngolith. Ann Otol Rhinol Laryngol 1972;81:840–3CrossRefGoogle ScholarPubMed
7Bridges, GP, Proctor, OF. Laryngeal mucociliary clearance. Ann Otol Rhinol Laryngol 1971;80:445CrossRefGoogle Scholar
8Moersch, HJ, Schmidt, HW. Broncholithiasis. Ann Otol Rhinol Laryngol 1959;68:548–63CrossRefGoogle ScholarPubMed
9Clerf, LH. Laryngeal complications of irradiation. Arch Otolaryngol Head Neck Surg 1927;6:338–45CrossRefGoogle Scholar
10Hautant, A. Regarding radionecrosis of the laryngeal cartilages and their resection pre-requisites [in French]. Annals de Mal de l'Oreille du Larynx 1927;46:1198–203Google Scholar
11Iglauer, S. X-ray injury to larynx with report of case. Ann Otol Rhinol Laryngol 1927;36:124–32Google Scholar
12Robson, FC, Dawes, JDK. A case of perichondritis and necrosis of laryngeal cartilage 25 years after treatment with radium. J Laryngol Otol 1961;75:997–8CrossRefGoogle Scholar
13Kapur, TR. Late post radiation changes in the larynx, pharynx, esophagus and the trachea. J Laryngol Otol 1968;82:447–57CrossRefGoogle ScholarPubMed
14Spector, GJ. Developmental anatomy of the larynx. In: Ballenger, JJ, ed. Diseases of the Nose, Throat, Ear, Head and Neck, 13th edn.Philadelphia: Lea & Febiger, 1985;369–75Google Scholar