References:
1 Umphress B, Raparia K. Rhinoscleroma. Arch Pathol Lab Med 2018;142:1533–1536.
2 Awad O, Zaky E, Talaat M. Correlation Between Nasal and Laryngeal Lesions of Rhinoscleroma in Patients of Upper Egypt. J Voice 2020. doi:10.1016/j.jvoice.2020.07.017.
Figure 1. Laryngeal mass in a gentleman in his early 50s. Top left. Direct laryngoscopic image of supraglottic larynx showing an irregular ulcerative mass. Top right. Axial CT images taken after the patient’s tracheostomy was completed.  Emphysematous changes in the soft tissue are the result of the surgical procedure.  Nasogastric tube can be seen in the esophagus. There is a mass visible in the supraglottic larynx (arrows) that is causing narrowing of the airway.  Bottom. On microscopy, H&E (left) and Gram (right) stains show rare Mikulicz cells containing intracellular bacteria (gram negative rods on the Gram stain).