Korean J Otorhinolaryngol-Head Neck Surg.  2013 Nov;56(11):730-734. 10.3342/kjorl-hns.2013.56.11.730.

Treatment of Nasopharyngeal Stenosis after Revisional Palatopharyngoplasty with Balloon Dilatation and Topical Mitomycin-C Application

• Kwon KN
• Lee SC
• Lee SW
• Lee JY

• KMID: 1922216
• DOI: http://doi.org/10.3342/kjorl-hns.2013.56.11.730

Abstract

Nasopharyngeal stenosis (NPS) is a rare condition and classified as primary NPS (due to a disease process as syphilis) or secondary NPS (due to a surgery or radiotherapy) according to the etiology. Patients with NPS suffer significant morbidities, including nasal obstruction, phonatory changes, sleep disordered breathing, dysphagia, and otologic disturbances. Treatment modalities include wide range of strategies, such as local rotation flaps, free flaps, Z-plasty, prolonged stenting, insertion of obturators, and laser excision. However, treatment is difficult, often resulting in only short-term symptom relief and restenosis. The authors experienced a case of NPS following revisional palatopharyngoplasty in a 50-year-old man, which was treated successfully with balloon dilatation and topical mitomycin-C application. We present the etiology, symptoms, and treatment of this rare disease entity with a review of the literature.

Keyword

Balloon; Dilatation; Mitomycin-C; Nasopharynx; Soft palate; Stenosis; Surgical revision

MeSH Terms

Constriction, Pathologic*
Deglutition Disorders
Dilatation*
Free Tissue Flaps
General Surgery
Humans
Middle Aged
Mitomycin*
Nasal Obstruction
Nasopharynx
Palate, Soft
Rare Diseases
Reoperation
Sleep Apnea Syndromes
Stents
Mitomycin