Investigations and treatment
On the basis of history, examination and imaging the diagnosis of
sub-glottic stenosis was made and for accurate pre-operative assessment
of site, length and degree of stenosis, rigid bronchoscopy was done
under general anesthesia. However, to our surprise a betel nut measuring
2×1 cm2, covered with mucin, blackish debris and
granulation tissues was found in the tracheal lumen just above the
carina with no evidence of subglottic stenosis (Figure 2 and 3). The
betel nut was then removed followed by disappearance of stridor and ease
in breathing.