Severe pharyngeal stenosis treated with inferiorly based sternocleidomastoid myocutaneous flap.
Severe pharyngeal stenosis is a debilitating condition associated with apnea and dysphagia. Treatment options include local flaps and free mucosal grafts. We present 2 cases of severe stenosis. apparently from adenotonsillectomy, that failed more conservative repairs. Both were treated successfully with a sternocleidomastoid myocutaneous flap rotated in through a lateral pharyngotomy. No further treatment has been required. Technical considerations and operative planning are discussed.
Haller
J R
JR
Division of Otolaryngology--Head and Neck Surgery, University of Utah School of Medicine, Primary Children's Medical Center, Salt Lake City 84132, USA.
Gray
S D
SD
D000233:Adenoidectomy / Q000009:adverse effects*; D002675:Child, Preschool; D003680:Deglutition Disorders / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D013524:Surgical Flaps; D014068:Tonsillectomy / Q000009:adverse effects*