title: Palatopharyngoplasty with bilateral buccal mucosal graft repair to alleviate oropharyngeal stenosis.
abstract: Oropharyngeal stenosis is rare, but known complication from tonsillectomy procedure. A 15-year-old female presented with refractory dyspnea, mild obstructive sleep apnea, and dysphagia. She underwent tonsillectomy 3 years prior. Severe cicatricial oropharyngeal scar involving soft palate, anterior tonsillar pillars, and base of tongue, resulted in 1-cm(2) airway. Case report describing lysis of severe palatopharyngeal scar bands from tonsillectomy misadventure with immediate buccal mucosal grafts to repair resultant oropharyngeal defects. Patient no longer complains of difficulty breathing or dysphagia.
authors.affiliation: Department of Otolaryngology, Head & Neck Surgery, The University of Tennessee Health Science Center, Memphis, TN, USA. Electronic address: jtompki6@uthsc.edu.
authors.forename: Jared J
authors.initials: JJ
authors.lastname: Tompkins
authors.affiliation: The University of Tennessee Health Science Center, School of Medicine, Memphis, TN, USA.
authors.forename: Cory A
authors.initials: CA
authors.lastname: Vaughn
authors.affiliation: The University of Tennessee Health Science Center, School of Medicine, Memphis, TN, USA.
authors.forename: Faisal A
authors.initials: FA
authors.lastname: Shaikh
authors.affiliation: Department of Otolaryngology, Head & Neck Surgery, The University of Tennessee Health Science Center, Memphis, TN, USA.
authors.forename: Rose Mary
authors.initials: RM
authors.lastname: Stocks
authors.affiliation: Department of Otolaryngology, Head & Neck Surgery, The University of Tennessee Health Science Center, Memphis, TN, USA.
authors.forename: Jerome W
authors.initials: JW
authors.lastname: Thompson
mesh_terms: D000293:Adolescent; D002921:Cicatrix / Q000150:complications* / Q000601:surgery; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D003680:Deglutition Disorders / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D009061:Mouth Mucosa / Q000637:transplantation*; D009960:Oropharynx / Q000473:pathology* / Q000601:surgery*; D010160:Palate, Soft / Q000601:surgery*; D020181:Sleep Apnea, Obstructive / Q000209:etiology; D014068:Tonsillectomy / Q000009:adverse effects*
keywords: Buccal mucosa; Oropharyngeal stenosis; Tonsillectomy