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Cricoid ossification mimicking an impacted foreign body

Published online by Cambridge University Press:  03 July 2006

N Wakisaka ,
T Miwa ,
T Yoshizaki  and
M Furukawa
N Wakisaka
Affiliation:
Department of Otolaryngology, School of Medicine, Kanazawa University, Ishikawa, Japan
T Miwa
Affiliation:
Department of Otolaryngology, School of Medicine, Kanazawa University, Ishikawa, Japan
T Yoshizaki
Affiliation:
Department of Otolaryngology, School of Medicine, Kanazawa University, Ishikawa, Japan
M Furukawa
Affiliation:
Department of Otolaryngology, School of Medicine, Kanazawa University, Ishikawa, Japan
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Abstract

A 54-year-old man complained of severe throat pain and showed subglottic oedema on fibre-optic endoscopy with a distinctly narrowed subglottic space on anteroposterior radiography of the neck and dense linear opacity at the level of the cricoid cartilage on lateral plain radiography. These findings suggested a foreign body just posterior to the cricopharyngeus, but a computed tomography (CT) scan demonstrated a dense calcified ridge on the posterior lamina of the cricoid cartilage but no foreign body.

The patient improved symptomatically with systemic antibiotics and topical steroids, and gastrointestinal endoscopy did not detect any foreign body. This is a rare case of vertical ossification of the cricoid lamina masquerading as a foreign body.

Keywords

Cricoid CartilageCalcificationPhysiologicalForeign BodiesOesophagusTomographyX-Ray ComputedEndoscopy
Type
Online Only Clinical Records
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 7 , July 2006 , pp. 1 - 3 , e24
Copyright
2006 JLO (1984) Limited

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