Palatal eversion: A new technique in treatment of nasopharyngeal stenosis

AbdelFattah, Gamal

doi:10.1016/j.ijporl.2012.02.064

Cited by 10 publications

(4 citation statements)

References 15 publications

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“…Therefore, careful technique, judicious use of electrocautery, and adequate preoperative evaluation are essential in preventing nasopharyngeal stenosis. Nasopharyngeal stenosis is a very difficult complication to fix; however, palatal eversion and bilateral Z-pharyngoplasty have been shown to be effective treatments [58,59].…”

Section: Adenoidectomy Complicationsmentioning

confidence: 99%

Adenoidectomy in Children: What Is the Evidence and What Is its Role?

Schüpper

Nation

Pransky

2018

Curr Otorhinolaryngol Rep

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Purpose of Review Review the current state of the adenoidectomy procedure in the pediatric population with up-to-date indications for surgery, operative techniques, adverse events, non-surgical management of adenoid hypertrophy, and future directions. Recent Findings Adenoidectomy is indicated in children for the treatment of sleep-disordered breathing, nasal airway obstruction, recurrent acute otitis media, and chronic rhinosinusitis. A new recommendation was released in 2016, not supporting adenoidectomy for a primary indication of otitis media in children under 4 years old, including those with prior tympanostomy tubes, unless a distinct indication exists such as nasal obstruction or chronic adenoiditis. Although adenotonsillectomy is the mainstay of treatment for obstructive sleep apnea (OSA), recent studies have identified that non-obese patients with moderate OSA and small tonsils have comparable benefits with adenoidectomy alone with less complications. While conventional approaches such as indirect mirror-assisted curette and suction coagulation are still utilized, direct transnasal endoscopeassisted removal of the adenoids has proven to be a safe technique, with good short-and long-term outcomes. Novel nonsurgical therapies including immunotherapy have been evaluated. Summary Adenoidectomy is a safe procedure in the pediatric population and leads to excellent outcomes. Adverse events are rare, and hospitalization is uncommon. Children with sleep disturbance from nasal airway obstruction, ear disease, or chronic rhinosinusitis are the best operative candidates for this procedure.

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Section: Adenoidectomy Complicationsmentioning

confidence: 99%

Adenoidectomy in Children: What Is the Evidence and What Is its Role?

Schüpper

Nation

Pransky

2018

Curr Otorhinolaryngol Rep

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“…The treatment of NPS is challenging as there is a high rate of recurrence [20]. Treatment options vary depending on the location, extent and severity of stenosis.…”

Section: Discussionmentioning

confidence: 99%

“…Reported modalities include cold knife excision and laser excision. Skin grafts, local flaps, palatal eversion, regional flaps and microvascular free flaps have all been utilized to provide an epithelial lining [17,20]. Local pharyngeal and soft palatal flaps are the most quoted flaps in literature utilized in the management of NPS [23].…”

Section: Discussionmentioning

confidence: 99%

‘Nasal flossing’: A case report of nasopharyngeal stenosis due to severe erosive lichen planus and a novel therapeutic intervention

Henry

Biddlestone

McCaul

2019

International Journal of Surgery Case Reports

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HighlightsAn unusual case of nasopharyngeal stenosis following severe erosive oral lichen planus is described.Initial surgical management was complicated by recurrent nasopharyngeal stenosis due to the intense underlying inflammatory disease process.‘Nasal flossing’ is described as a novel technique that can be used as an adjunct to prevent recurrence of nasopharyngeal stenosis and has relevance to a broad range of oral and nose and throat physicians.

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“…A stent or an obturator may be utilized depending on the practice in the center. After excision of the scarred tissues, the epithelial ling could be provided by either skin grafts, local flaps, regional flaps, or even free flaps [ 12 , 13 ]. The choice of which option to use could be influenced by many factors including severity of stenosis, quality of the surrounding mucosa, operating surgeons experience, and possible complications associated with the method chosen.…”

Section: Discussionmentioning

confidence: 99%

FAMM Flap in Reconstructing Postsurgical Nasopharyngeal Airway Stenosis

Nangole

Khainga

2014

Plastic Surgery International

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Introduction. Postsurgical nasopharyngeal airway stenosis can be a challenge to manage. The stenosis could be as a result of any surgical procedure in the nasopharyngeal region that heals extensive scarring and fibrosis. Objective. To evaluate patients with nasopharyngeal stenosis managed with FAMM flap. Study Design. Prospective study of patients with nasopharyngeal stenosis at the Kenyatta National Hospital between 2010 and 2013 managed with FAMM flap. Materials and Methods. Patients with severe nasopharyngeal airway stenosis were reviewed and managed with FAMM flaps at the Kenyatta National Hospital. Postoperatively they were assessed for symptomatic improvement in respiratory distress, patency of the nasopharyngeal airway, and donor site morbidity. Results. A total of 8 patients were managed by the authors in a duration of 4 years with nasopharyngeal stenosis. Five patients were managed with unilateral FAMM flaps in a two-staged surgical procedure. Four patients had complete relieve of the airway obstruction with a patent airway created. One patient had a patent airway created though with only mild improvement in airway obstruction. Conclusion. FAMM flap provides an alternative in the management of postsurgical severe nasopharyngeal stenosis. It is a reliable flap that is easy to raise and could provide adequate epithelium for the stenosed pharynx.

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Palatal eversion: A new technique in treatment of nasopharyngeal stenosis

Cited by 10 publications

References 15 publications

Adenoidectomy in Children: What Is the Evidence and What Is its Role?

Adenoidectomy in Children: What Is the Evidence and What Is its Role?

‘Nasal flossing’: A case report of nasopharyngeal stenosis due to severe erosive lichen planus and a novel therapeutic intervention

FAMM Flap in Reconstructing Postsurgical Nasopharyngeal Airway Stenosis

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