Management of nasopharyngeal and oropharyngeal stenosis in children.
Nasopharyngeal stenosis and oropharyngeal stenosis are rare and challenging problems in the pediatric population. The most common etiology is currently the surgical trauma associated with adenotonsillectomy. Stenosis can vary from a thin band to a complete obstructing cicatrix. Presenting symptoms range from mild hyponasal speech to severe airway obstruction. We present a series of eight children with varying degrees of stenosis and associated symptoms. Choice of treatment varied with the severity of disease. In our series, successful interventions included triamcinolone acetonide injection, lysis of adhesions, rotational and advancement mucosal flaps, and jejunal free flap. Preoperative evaluation and individualized surgical repair are essential for successful treatment.
McLaughlin
K E
KE
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Jacobs
I N
IN
Todd
N W
NW
Gussack
G S
GS
Carlson
G
G
D000233:Adenoidectomy / Q000009:adverse effects*; D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002648:Child; D002921:Cicatrix / Q000209:etiology / Q000628:therapy*; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009302:Nasopharyngeal Diseases / Q000209:etiology / Q000628:therapy*; D009960:Oropharynx; D010608:Pharyngeal Diseases / Q000209:etiology / Q000628:therapy*; D013524:Surgical Flaps; D014068:Tonsillectomy / Q000009:adverse effects*; D014222:Triamcinolone Acetonide / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D014222:Triamcinolone Acetonide