title: Acquired nasopharyngeal stenosis in a patient with sarcoidosis.
abstract: BACKGROUND
  Acquired nasopharyngeal stenosis typically occurs as a result of surgery or irradiation of the nasopharynx. Sarcoidosis has numerous manifestations in the head and neck region, although an association with nasopharyngeal stenosis has not previously been reported.
  
  
  METHODS
  A 40-year-old man with sarcoidosis developed severe acquired nasopharyngeal stenosis. This was successfully managed with balloon dilatation, followed by pharyngoplasty with local pharyngeal flap reconstruction.
  
  
  CONCLUSIONS
  This report is intended to prompt consideration of nasopharyngeal stenosis as a potential cause of nasal obstruction in patients with sarcoidosis, and to draw attention to the need to consider sarcoidosis in the differential diagnosis of patients with acquired nasopharyngeal stenosis. We also demonstrate the viability of pharyngoplasty in the management of nasopharyngeal stenosis in the setting of sarcoidosis.
authors.affiliation: Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, NY, USA. jacob.brodskyj@childrens.harvard.edu
authors.forename: J R
authors.initials: JR
authors.lastname: Brodsky
authors.forename: S A
authors.initials: SA
authors.lastname: Tatum
authors.forename: R T
authors.initials: RT
authors.lastname: Kelley
mesh_terms: D000328:Adult; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D004724:Endoscopy; D006801:Humans; D008297:Male; D015508:Nasal Obstruction / Q000209:etiology* / Q000601:surgery; D009302:Nasopharyngeal Diseases / Q000209:etiology* / Q000601:surgery; D009305:Nasopharynx / Q000473:pathology* / Q000601:surgery; D019651:Plastic Surgery Procedures; D012507:Sarcoidosis / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome