Anterior Cricoid Abscess with a Posterior Granuloma: A Dual Pathology

Document Type : Case Report

Authors

Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.

10.22038/ijorl.2025.80509.3707

Abstract

Introduction:
Cricoid abscesses are rare, typically occurring in the posterior part of the cricoid and are often life-threatening. In this paper, we describe the first reported case of an anterior cricoid abscess and discuss our management.
Case Report:
A 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.
Conclusion:
We maintained 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.

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References

  1. Souliere CR Jr, Kirchner JA. Laryngeal perichondritis and abscess. Arch Otolaryngol. 1985; 111(7):481-484.
  2. Eliashar R, Goldfarb A, Gross M, Sichel J. Purulent Chondritis of the Laryngeal Framework Cartilages. Annals of Otology, Rhinology & Laryngology. 2005; 114(3):219–222.
  3. Boyce BJ, deSilva BW. Spontaneous MRSA postcricoid abscess: a case report and literature review. Laryngoscope. 2014; 124(11):2583-2585.
  4. Leiva-Salinas C, Mukherjee S. Purulent Chondritis of the Cricoid. Eur Ann Otorhinolaryngol Head Neck Dis. 2016; 133(2):137–139.
  5. Newstrom E, Fan T, Welby L, Holdgraf R. Cricoid abscess presenting as progressive dyspnea. Proc (Bayl Univ Med Cent). 2021; 35(2):227-228.
Iranian Journal of Otorhinolaryngology
Volume 37, Issue 6
November and December 2025
Pages 345-348

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