A 22-year-old female student presented at the Diagnostic Center “IKEDA” (Tirana, Albania) with a 1-year history of progressive dyspnoea. She had significant stridor, but no hoarseness. Her medical history did not reveal any significant disease, except the fact that she had been treated for the whole of the previous year for bronchial asthma. The treatment had included β2-agonists and inhaled and systemic corticosteroids. The treatment was not effective. The patient did not smoke. There was no palpable mass in the neck, and radiography of the chest was normal. A flexible fibreoptic examination was performed and this suggested expansion of the left aryepiglottic fold in a saccular shape.
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