Laryngeal foreign bodies are less common than bronchial foreign bodies. They pose a challenge sometimes because of subdued symptoms and therefore resulting in late diagnosis. Removal of such foreign bodies is challenging especially in infants, and one needs to be prepared for all sorts of variations on the OT table. We present an interesting case where an 8-month-old infant presented with a toe ring inside her larynx, which was peculiarly causing symptoms of both respiratory obstruction and pooling of saliva. The top flat part of the toe ring was seen to be covering the posterior half of the glottis and its ring was stuck inside the cricopharynx. This was a case of a single foreign body obstructing both the tracts at the same time. It was removed carefully with direct laryngoscopy and the patient recovered uneventfully after the procedure.
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