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Grommetless Syringe Grommetless devices on a piston syringe do not have a plunger tip at the end of the plunger

However, certain symptoms require prompt evaluation: Trouble breathing, noisy breathing, or choking sensations Inability to swallow liquids or solids Rapidly enlarging neck mass, visible swelling, or redness Unexplained weight loss, persistent pain, or bleeding Hoarseness lasting more than two weeks Evaluation begins with a careful history and physical exam

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