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Diagnosis of Tracheopathia Osteoplastica by Computed Tomography

A 49-year-old man presented with acute stridor, hoarseness, and dysphagia. On admission, the pa­ tient had a fever of 39°C and a leukocyte count of ΙΙ,ΟΟΟ/μί. A general physical examination was negative. Indirect laryngoscopy revealed edema and hyperemia of both vocal cords with restricted mobility. Chest and neck radiographs showed only an irregular, long, narrow segment of the subglottic area and upper trachea (Fig 1). Clinical and radio­ logical findings were suggestive of an acute inflam­ matory lesion, and the patient was treated with in­ travenous ampicillin 4 g and hydrocortisone 200 mg daily. Tracheoscopy performed on the third day after admission failed because of subglottic narrow­ ing and rigidity. The same day dyspnea increased and a tracheostomy was performed.