Cicatricial velopharyngeal stenosis.
Cicatricial velopharyngeal stenosis is a complication of uvulopalatopharyngoplasty. Uvulopalatopharyngoplasty, posterior nasal packing, and instrumentation produced swelling and ulceration of the oropharyngeal mucosa. Prolonged intubation compounded the problem by pushing the freshly cut surface of the velum against a raw oropharyngeal wall, thus causing synechiae and, ultimately, stenosis. A surgical technique using a pharyngeal rotation flap and a free graft is proposed to treat this condition.
Ghorayeb
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Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical School, Houston 77030.
D002921:Cicatrix / Q000473:pathology*; D003251:Constriction, Pathologic / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010160:Palate, Soft / Q000473:pathology* / Q000601:surgery; D010608:Pharyngeal Diseases / Q000209:etiology* / Q000473:pathology; D010614:Pharynx / Q000601:surgery; D011183:Postoperative Complications; D000267:Tissue Adhesions