title: Surgical management of nasal stenosis following chemoradiation for nasopharyngeal carcinoma.
abstract: BACKGROUND
  Nasal stenosis is a rare but significant complication of chemoradiation treatment for nasopharyngeal carcinoma. It can cause distressing obstructive symptoms for the patient and potentially interfere with monitoring for recurrence. Quality-of-life indicators are known to be very poor in this group of patients; however, there is very little evidence in the literature as to management of this complication.
  
  
  METHODS
  This paper presents an endoscopic day-case surgical procedure to address total posterior nasal stenosis, as conducted in three patients, which involves division of adhesions and removal of the posterior septum and posterior inferior turbinates, without the need for packing or stenting.
  
  
  RESULTS
  In this series, there was resolution of obstructive symptoms and no recurrence of stenosis during follow up (up to 20 months).
  
  
  CONCLUSIONS
  This endoscopic procedure performed to manage total nasal stenosis differs from those previously described in the literature, as post-operative stenting or packing is not required, and removal of the posterior aspect of the septum is performed routinely.
authors.affiliation: ENT Department,St John's Hospital,Livingston,Edinburgh,Scotland,UK.
authors.forename: V V
authors.initials: VV
authors.lastname: Wilmot
authors.affiliation: ENT Department,University of Edinburgh,Scotland,UK.
authors.forename: I
authors.initials: I
authors.lastname: Hathorn
mesh_terms: D000368:Aged; D002277:Carcinoma; D059248:Chemoradiotherapy / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000209:etiology / Q000601:surgery; D059747:Nasal Surgical Procedures / Q000379:methods*; D000077274:Nasopharyngeal Carcinoma; D009303:Nasopharyngeal Neoplasms / Q000628:therapy*; D009668:Nose Diseases / Q000209:etiology / Q000601:surgery*
keywords: Bilateral Nasal Obstruction; Nasal Surgical Procedures; Nasopharyngeal Cancer; Stenosis