Stenosis of the Nasopharynx

Management of Nasopharyngeal and Oropharyngeal Stenosis in Children

“…No follow‐up was given. Figi 6 described in 1929 a variation on Nichols' procedure adding a small lead weight to the suture so that it slowly cut through the adhesions while promoting an epithelialized tract. Many authors were not successful with these methods, which failed because the persistent raw surfaces contracted and resulted in repeat stenosis.…”

“…NPS was first reported in the literature by Nichols 5 in 1896 who described NPS as a sequelae of syphilis. In 1929 Figi 6 reported the first series in which NPS more commonly resulted as a complication of tonsillectomy and adenoidectomy rather than as a sequelae of infection, most notably syphilis. Before 1940, in the years preceding the era of antibiotics, 81% of the reported cases of NPS were syphilitic in origin 7 .…”

Amelioration of Acquired Nasopharyngeal Stenosis, with Bilateral Z-Pharyngoplasty

“…3,4 Following the advent of penicillin, however, most cases of nasopharyngeal stenosis are now associated with postoperative complications following uvulopalatopharyngoplasty, tonsillectomy, or adenoidectomy. 5 Several etiologic factors have been reported in the development of postoperative nasaopharyngeal stenosis, including devascularization and/or destruction of mucosa, surgery in the presence of pharyngitis, and a keloid diathesis. 2,4,6 Subsequent cicatrical scar contraction results in various degrees of fusion between the soft palate and posterolateral pharynx.…”

Stenosis of the Nasopharynx and Its Correction

“…One procedure was carried out on the right side ; another was planned on the left. The first incision started in the midline, as shown in figure 3 A, and included the fistula, extending from the base of the stenosis on the pharynx forward to the hard palate. It was then carried laterally toward the alveolus and down again along the side of the tonsillar fossa.…”