Use of balloon dilatation as an adjunctive treatment for complete nasopharyngeal stenosis: a technical innovation

Igwe, C-N; Sharma, Radhika; Roberts, Deborah H.; Hopkins, Claire

doi:10.1111/j.1749-4486.2012.02430.x

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…In an anatomic location that is difficult to access, pharyngoplasty for stenosis via CO 2 laser release or balloon dilation is associated with poor long‐term success rates . The raw surface that is exposed using the laser for airway surgery may increase the likelihood of recurrence, particularly in patients who have had prior treatment for head and neck cancer.…”

Section: Discussionmentioning

confidence: 99%

Transoral robotic surgery for pharyngeal stenosis

Byrd

Leonardis

Bonawitz

et al. 2014

Int J Med Robotics Comput Assist Surg

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Section: Discussionmentioning

confidence: 99%

Transoral robotic surgery for pharyngeal stenosis

Byrd

Leonardis

Bonawitz

et al. 2014

Int J Med Robotics Comput Assist Surg

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“…Postexcision of an obturator is utilized by the patient for 2 to 6 months to prevent recurrence. Igwe et al have utilized carbon dioxide laser to make radial cuts in the stenosed nasopharynx and then utilize controlled balloon dilatation to continuously expand the orifice [ 16 ]. Mitomycin c is then topically applied over the scar area to prevent fibroblast activities.…”

Section: Pertinent Literaturementioning

confidence: 99%

FAMM Flap in Reconstructing Postsurgical Nasopharyngeal Airway Stenosis

Nangole

Khainga

2014

Plastic Surgery International

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Introduction. Postsurgical nasopharyngeal airway stenosis can be a challenge to manage. The stenosis could be as a result of any surgical procedure in the nasopharyngeal region that heals extensive scarring and fibrosis. Objective. To evaluate patients with nasopharyngeal stenosis managed with FAMM flap. Study Design. Prospective study of patients with nasopharyngeal stenosis at the Kenyatta National Hospital between 2010 and 2013 managed with FAMM flap. Materials and Methods. Patients with severe nasopharyngeal airway stenosis were reviewed and managed with FAMM flaps at the Kenyatta National Hospital. Postoperatively they were assessed for symptomatic improvement in respiratory distress, patency of the nasopharyngeal airway, and donor site morbidity. Results. A total of 8 patients were managed by the authors in a duration of 4 years with nasopharyngeal stenosis. Five patients were managed with unilateral FAMM flaps in a two-staged surgical procedure. Four patients had complete relieve of the airway obstruction with a patent airway created. One patient had a patent airway created though with only mild improvement in airway obstruction. Conclusion. FAMM flap provides an alternative in the management of postsurgical severe nasopharyngeal stenosis. It is a reliable flap that is easy to raise and could provide adequate epithelium for the stenosed pharynx.

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