Ulceration and stenosis of the hypopharynx and its surgical management.
Two patients presented with ulcerative lesions of the hypopharynx. One patient developed dysphagia due to a stenotic hypopharynx which followed an ulcerating mucosal lesion. The stenotic site was reconstructed using a subcutaneous pedicle flap. The advantages of this method are possibility of a one-stage operation and a good cosmetic result. In our review of the medical literature, we were unable to find other cases with a similar manifestation treated by surgery. The most likely diagnostic possibilities are Behçet's disease and Crohn's disease. Differential diagnoses are discussed.
D000293:Adolescent; D000328:Adult; D001528:Behcet Syndrome / Q000175:diagnosis*; D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007013:Hypopharynx / Q000473:pathology*; D008722:Methods; D010608:Pharyngeal Diseases / Q000175:diagnosis* / Q000601:surgery; D013524:Surgical Flaps; D014456:Ulcer / Q000175:diagnosis / Q000601:surgery