Complete Nasopharyngeal Stenosis: Presentation of a Rare Case

Abstract

A sixty-eight years old female patient with complete nasopharyngeal stenosis without any determined etiology is presented. She had complete nasal obstruction as well as obstructive sleep apnea syndrome. She was operated and dense, thick, avascular fibrotic tissues were excised and reconstructed with local flaps and skin graft. Only partial opening was achieved in the long term follow-up.Key Words: Nasopharyngeal stenosis, Sleep apnea, Surgery ÖzetKomplet nazofaringeal stenoz, yumuşak damak ve posterior farinks kaynaklı submukozal fibrotik doku ile nazofarenksin obstrüksiyonu ile karakterize çok nadir bir durum. Altmış sekiz yaşında bir kadın hasta, 30 yıldır devam eden burun tıkanıklığı, nefes darlığı, yutma güçlüğü, ağzı açık uyuma, horlama ve uyku apnesi şikayetleri ile kliniğimize başvurdu. Fizik muayene de uvula ve velopharyngeal açıklık yoktu ve dişlerinde anomalileri mevcuttu idi. Bu olgu sunumunda nazofaringeal stenoz klinik bulguları ve tedavisi ile sunulmaktadır.

Partial Nasopharyngeal Stenosis: Presentation of an Unusual Case

“…While secondary NPS is iatrogenic with it most commonly resulting from pharyngeal surgeries for obstructive sleep apnea and radiation therapy for nasopharyngeal carcinoma. Cases of undetermined etiology have also been reported, as that seen in a case report in Turkey [3]. The symptoms that patients display can vary according to the degree of stenosis.…”

“…Nasopharyngeal stenosis is a rare complication with its true incidence being hard to determine. It can be classified according to its etiology, with primary NPS occurring due to a disease process such as those seen in the past as a complication of tertiary syphilis of the mouth, tuberculosis, and other infectious diseases [3] . While secondary NPS is iatrogenic with it most commonly resulting from pharyngeal surgeries for obstructive sleep apnea and radiation therapy for nasopharyngeal carcinoma.…”

Penatalaksanaan Restenosis Nasofarin Menggunakan Obturator Nasofaringeal

“…Penegakan diagnosis dapat dilakukan dengan pemeriksaan fisik, pemeriksaan dengan CT Scan nasofaring dan nasoendoskopi. 4,5,6 Klasifikasi stenosis nasofaring menurut Krespi dan Kacker, menjadi 3 tipe berdasarkan derajat keparahannya. Tipe I (ringan), bagian lateral palatum lunak menempel pada dinding faring posterior.…”

Complicaciones velofaríngeas de adenoamigdalectomía

“…El tratamiento de estas complicaciones puede ser complejo y con tendencia a la recurrencia 27 . Entre las distintas alternativas quirúrgicas descritas para resolver la estenosis nasofaríngea se han descrito la dilatación con balón 28 , la liberación y reconstrucción con injertos 29 , los colgajos faríngeos de base lateral 30 y la eversión palatina en dos tiempos 31 , entre otras técnicas. Otras medidas incluyen el uso de triamcinolona intralesional y de mitomicina-c tópica 32 .…”