PMC10333994_01
Extended-neck stance seen on presentation
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Clinical examination at the referral centre revealed increased inspiratory effort with upper respiratory tract stertor and an extended-neck stance (Figure 1).
Retroflexed nasopharyngoscopy. Appearance of the nasopharyngeal mass
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Nasopharyngoscopy revealed a large, right-sided rostral nasopharyngeal mass that was causing obstruction of the ipsilateral choana (Figure 2).
Cytological appearance of purulent material, Diff-Quick stain
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Cytology of the purulent material showed large numbers of degenerate neutrophils, with a mixed bacterial population consisting of pleomorphic rods and some cocci (Figure 3).