[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-454906-105":3,"detail-sidebar-cat-0-en-105":80,"doc-detail-454906-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","anterior-cricoid-abscess-with-a-posterior-granuloma-a-dual-pathology","Anterior Cricoid Abscess with a Posterior Granuloma - A Dual Pathology","","A rare anterior cricoid abscess is presented alongside an associated posterior granuloma in a single case study. A 60-year-old woman developed dyspnoea and long-standing progressive hoarseness; imaging showed posterior soft-tissue thickening with an anterior subglottic collection, causing airway stenosis. Management included endoscopic intubation, suspension laryngoscopy, posterior granuloma excision, and drainage of purulent anterior abscess material, followed by antibiotic therapy and follow-up. The outcome was a patent airway and resolution of subglottic oedema.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/anterior-cricoid-abscess-with-a-posterior-granuloma-a-dual-pathology/454906/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/anterior-cricoid-abscess-with-a-posterior-granuloma-a-dual-pathology/454906.png","ImageObject",300,407,{"name":42,"@type":43},"eBook King","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-08","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":33},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"Why is a cricoid abscess clinically concerning in this case?","Question",{"text":62,"@type":63},"Cricoid abscesses are rare but can lead to airway obstruction, high morbidity, and potentially life-threatening complications. Early recognition and imaging are emphasized to prevent airway compromise.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What diagnostic findings suggested a dual pathology?",{"text":67,"@type":63},"Clinical evaluation showed biphasic stridor, while contrast-enhanced CT revealed posterior subglottic thickening consistent with a granuloma and an additional anterior subglottic collection with inflammatory changes causing stenosis.",{"name":69,"@type":60,"acceptedAnswer":70},"What treatment strategy was used and what was the outcome?",{"text":71,"@type":63},"The team performed successful intubation, excised the posterior granuloma, and drained purulent fluid from the anterior cricoid abscess via endoscopy, then adjusted antibiotics based on culture. Follow-up demonstrated a patent airway and resolving subglottic oedema without tracheostomy.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},454906,1790741689,{"code":4,"msg":81,"data":82},"success",[83,87,91,95,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":92,"show_sort_weight":93,"slug":94},"Exam",70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":81,"data":131},{"doc_id":78,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":33,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":79,"read_time":123,"preview_page_count":4},962088006270,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Anterior Cricoid Abscess with a Posterior Granuloma:  \nA Dual Pathology  \nPei Fen Cheah 1, * Sien Hui Tan1  \nAbstract  \nIntroduction:  \nCricoid abscesses are rare, typically occurring in the posterior part of the cricoid and are often lifethreatening. In this paper, we describe the first reported case of an anterior cricoid abscess and discuss our management.  \nCase Report:  \nA 60-year-old lady presented with dyspnoea for 2 days and progressive hoarseness for 8 months. A contrast-enhanced computed tomography revealed a posterior soft tissue thickening and an anterior subglottic collection. The patient underwent endoscopic excision of the granuloma and drainage of the abscess. She completed 3 weeks of oral ciprofloxacin. Subsequent follow-up revealed a patent airway.  \nConclusion:  \nWe were highly suspicious, as stridor is unlikely to be caused solely by a posterior granuloma. Clinicians should remain alert to the possibility of a second pathology, and early imaging should be performed when clinically indicated. The rarity of a cricoid abscess necessitates a high index of suspicion for diagnosis. In this case, progressive laryngeal lumen narrowing caused by posterior granuloma and cricoid abscess facilitated early symptom detection and timely management, thereby averting tracheostomy.  \nKeywords: Abscess, Cricoid cartilage, Hoarseness, Stridor, Granuloma  \nReceived date: 16 Jun 2024  \nAccepted date: 30 Jun 2025  \n*Please cite this article; PF Cheah, SH Tan. Anterior Cricoid Abscess with a Posterior Granuloma: A Dual Pathology Iran J Otorhinolaryngol. 2025:37(6):345-348. Doi: 10.22038/ijorl.2025.80509.3707  \n1Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.  \n*Corresponding Author:  \nDepartment of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, 50603 Kuala Lumpur, Wilayah Persekutuan  \nKuala Lumpur, Malaysia. E-Mail: [sienic@yahoo.com](sienic@yahoo.com)  \nIntroduction  \nCricoid abscesses are exceedingly rare. These infections typically occur in the posterior part of the cricoid and are often life-threatening. Urgent investigation and management are crucial to prevent airway compromise and limit potential complications. In this paper, we describe the first case of an anterior cricoid abscess and discuss our experience in the management of this patient.  \nCase Report  \nA 60-year-old lady presented to the emergency department with a 2-day history of dyspnoea, and progressive hoarseness for 8 months. She was previously intubated for 11 days following an emergency sternotomy due to an iatrogenic right ventricle perforation during a permanent pacemaker insertion 10 months ago. Her medical history includes end-stage renal failure and hypertension. Clinical examination revealed biphasic stridor, but she was otherwise afebrile and oxygen saturation was 100% under room air. Flexible nasopharyngolaryngoscopy demonstrated a posterior granuloma with subglottic edema. Her vocal cords were mobile and her supraglottic structures were unremarkable.  \nIntravenous dexamethasone, antibiotics and pantoprazole were initiated. Laboratory investigations, including inflammatory markers, were unremarkable, but her condition did not improve. Contrast-enhanced computed tomography demonstrated a non-enhancing isodense soft tissue thickening at the posterior subglottic region, resulting in significant airway stenosis (Figure 1) .  \nFig 1: Axial view of contrast-enhanced computed tomography showing a posterior non-enhancing isodense soft tissue thickening.  \nInterestingly, there was an unexpected finding of a small anterior subglottic collection with associated inflammatory changes surrounding the right antero-lateral cricoid cartilage (Figure 2) .  \nFig 2: Sagittal view of contrast-enhanced computed tomography showing a small anterior subglottic collection (blue arrow) .  \nThe patient was brought to the operating room and successfully intubated with a 6-0 mm cuffed endotracheal tube. Suspension l","cbCaidqDt6VBrftZ","https://ap.wps.com/l/cbCaidqDt6VBrftZ","pdf",270571,"English","# Abstract\n# Introduction\n# Case Report\n## Clinical presentation\n## Imaging and findings\n## Surgical management\n## Post-operative course\n# Discussion\n# Conclusion","[{\"question\":\"Why is a cricoid abscess clinically concerning in this case?\",\"answer\":\"Cricoid abscesses are rare but can lead to airway obstruction, high morbidity, and potentially life-threatening complications. Early recognition and imaging are emphasized to prevent airway compromise.\"},{\"question\":\"What diagnostic findings suggested a dual pathology?\",\"answer\":\"Clinical evaluation showed biphasic stridor, while contrast-enhanced CT revealed posterior subglottic thickening consistent with a granuloma and an additional anterior subglottic collection with inflammatory changes causing stenosis.\"},{\"question\":\"What treatment strategy was used and what was the outcome?\",\"answer\":\"The team performed successful intubation, excised the posterior granuloma, and drained purulent fluid from the anterior cricoid abscess via endoscopy, then adjusted antibiotics based on culture. Follow-up demonstrated a patent airway and resolving subglottic oedema without tracheostomy.\"}]","Anterior Cricoid Abscess with a Posterior Granuloma - A Dual Pathology | PDF"]