Abstract
A 17-year-old, previously healthy girl presented with a 6-month history of hoarseness of voice, which progressed to stridor and difficulty breathing. Laryngoscopy at a local hospital showed vocal cord palsy and edema. Neck X-ray revealed narrowing of the subglottic region. Intubation with a 5 mm endotracheal tube was performed due to impending respiratory failure, and the patient was then transferred to a tertiary medical center. Upon admission, saddle nose (Fig. 1A) and erythematous change with tenderness over the left auricular region (Fig. 1B) were found.
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