Treatment of post-adenotonsillectomy velopharyngeal stenosis with bivalved uvular flaps

Abdel‐Aziz, Mosaad; El-Tahan, Abdel-Rahman; El-Fouly, Mahmoud; Kamel, Ahmed; Abdel-Wahid, Assem

doi:10.1016/j.ijporl.2019.109600

Cited by 4 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Excessive scarring can cause complications after surgery. Either accidental or overly aggressive resection in the immediate vicinity of the ET orifice can result in scarring and even in total blockage of the ET 5,21 . One patient in our cohort had repeated surgeries for complicated sinus disease.…”

Section: Discussionmentioning

confidence: 95%

“…Either accidental or overly aggressive resection in the immediate vicinity of the ET orifice can result in scarring and even in total blockage of the ET. 5,21 One patient in our cohort had repeated surgeries for complicated sinus disease. Considering the volume of sino-nasal and adenoid surgery, the rate of such complications is very low, but nevertheless should be considered should a patient develop persistent symptoms of OETD after Two patients in our cohort had undergone maxillomandibular advancement (MMA) surgery prior to developing total blockage of the ET, which has not been previously reported as a complication of such surgery.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] Scarring from an adjacent procedure such as adenoidectomy can affect the ET orifice. 5 Aural symptoms, such as tinnitus, fullness, and otalgia, have been reported after orthognathic surgery typically lasting for 6-8 weeks possibly due to surgical edema. However, scarring or altered anatomy may cause longer lasting or even permanent changes in function.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reconstruction of the Obliterated Eustachian Tube: A Pilot Case Series

Toivonen

Poe

2022

The Laryngoscope

View full text Add to dashboard Cite

Objective: To investigate the safety and early efficacy of a procedure for reconstruction of the obliterated Eustachian tube (ET).Study Design: Retrospective case series. Methods: Patients with total obliteration of the cartilaginous ET, with intractable mucoid effusion causing repeated occlusion of tympanostomy tubes were included. Patients underwent endoscopic transnasal/transoral reconstruction of the obliterated ET using transtympanic illuminated guidewire guidance. A temporary stent (angiocatheter filled with bonewax) was placed to maintain patency while healing. In four cases an additional steroid-eluting propel stent was placed in the ET orifice. Main outcome measures were otomicroscopy results, absence of middle ear effusion, and nasopharyngoscopy showing patency of the ET orifice.Results: Nine ETs (seven patients), ages 17-68 years (mean 37.9) underwent ET reconstruction. Follow-up ranged from 4 to 56 months (mean 30.9 months). 89% of operated ears had no effusion at last follow-up. Two patients (three Eustachian tubes) underwent successful reoperation. There were no complications directly related to the procedure. Etiologies of obliteration included scarring after sinus surgery, obstruction after maxillo-mandibular advancement surgery (two patients), bullous pemphigus, gunshot trauma, and previous patulous obliteration (two patients).Conclusions: Complete occlusion of the cartilaginous ET can be associated with intractable mucoid effusion; endoscopic examination should be considered in such cases. In this pilot study, ET reconstruction was found to be a safe and possibly effective procedure in patients with total obliteration of the ET from various etiologies. Larger studies with long term follow up are indicated.

show abstract

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reconstruction of the Obliterated Eustachian Tube: A Pilot Case Series

Toivonen

Poe

2022

The Laryngoscope

View full text Add to dashboard Cite

show abstract

Oropharyngeal Stenosis Caused by Significant Scar Hyperplasia Following Tonsillectomy: A Case Report

Fan,

Wang,

Dong

et al. 2024

Ear Nose Throat J

View full text Add to dashboard Cite

Oropharyngeal stenosis (OPS) is a relatively rare long-term complication of tonsillectomy in children, resulting from the narrowing of the upper aerodigestive tract between the soft palate, pharyngeal sidewalls, and base of the tongue. This is the first reported case of OPS due to significant scar hyperplasia; however, whether it is as prone to recurrence as skin scar hypertrophy remains unknown. In this article, we present the case of a 5-year-old girl who presented to our otolaryngology clinic with sleep snoring and suffocation. Her medical history included tonsillectomy and adenoidectomy, performed 3 years prior to presentation. The patient underwent a combination of surgery and administration of triamcinolone injections, resulting in significant symptomatic improvement. To date, no signs of recurrence have been reported.

show abstract

Different tonsillectomy techniques in Egypt: advantages and disadvantages — experience and review of literature

Abdel-Aziz,

Atef,

Sabry

et al. 2023

Egypt J Otolaryngol

View full text Add to dashboard Cite

The debate about which surgical technique for tonsillectomy could be superior over another is continuous. Tonsillectomy techniques are classified into cold and hot procedures. In cold techniques, no heat is used; they include dissection, guillotine, microdebrider, harmonic scalpel, and cryosurgery. Hot techniques include electrocautery, coblation, radio frequency, and laser. In Egypt, the used methods are cold dissection, electrocautery, cold dissection with electrocautery hemostasis, coblation, and less commonly laser. In this study, we described the advantages and disadvantages of each technique.Hot techniques have shorter operative time and less intraoperative bleeding, while cold dissection technique has less postoperative pain and less postoperative complications especially secondary hemorrhage, with more rapid wound healing. However, coblation technique may have less pain in the first few hours postoperatively relative to cold technique. Electrocautery technique is the most painful method with delayed wound healing. Laser technique is nearly equivalent to electrocautery with slightly less pain. Cold dissection technique is less costly when compared to other techniques. Family satisfaction after tonsillectomy is dependent mainly on less postoperative pain and rapid recovery.Cold dissection is still considered the gold standard technique. Caution should be taken on using hot techniques especially when used for dissection, and the trainee surgeons should become familiar with cold dissection before shifting to other tonsillectomy techniques. From this study, we can say that hot techniques should not be used except after mastering the cold dissection tonsillectomy; also, the new advanced techniques can be reserved for high-risk patients such as having bleeding disorders.

show abstract

Treatment of post-adenotonsillectomy velopharyngeal stenosis with bivalved uvular flaps

Cited by 4 publications

References 15 publications

Reconstruction of the Obliterated Eustachian Tube: A Pilot Case Series

Reconstruction of the Obliterated Eustachian Tube: A Pilot Case Series

Oropharyngeal Stenosis Caused by Significant Scar Hyperplasia Following Tonsillectomy: A Case Report

Different tonsillectomy techniques in Egypt: advantages and disadvantages — experience and review of literature

Contact Info

Product

Resources

About