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Objective: To describe a rare case of subglottic foreign body (FB) impaction in an adult, leading to subglottic stenosis, and to evaluate the effectiveness of Suspension Microlaryn-goscopy (SML) as a minimally invasive technique for its management. Methods: A single case of subglottic FB in an adult was managed using endotracheal intubation and SML. This approach allowed for precise visualization and extraction of the FB. When granula-tion tissue or mucosal overgrowth was encountered, targeted resection and controlled cauterization were performed. Results: The SML technique provided excellent exposure to the subglottic region, enabling safe removal of the FB while minimizing trauma to the surrounding tissues. Postoperative follow-up demonstrated successful resolution of sub-glottic stenosis without complications, confirming the efficacy and safety of this approach. Conclusions: Subglottic FB impaction is an exceptionally rare occurrence in adults, posing diagnostic and therapeutic challenges. SML is a valuable tool for managing such cases, offering precise visualization, safe FB extraction, and effective management of complica-tions such as granulation tissue, ensuring optimal patient outcomes.