A Case Report of Nasopharyngeal Stenosis Corrected by Velopharyngoplasty

구개인두성형술로 교정한 비인두 협착증

  • 최홍식 (연세대학교 의과대학 이비인후과학교실, 음성언어 의학연구소) ;
  • 임재열 (연세대학교 의과대학 이비인후과학교실, 음성언어 의학연구소) ;
  • 신승호 (연세대학교 의과대학 이비인후과학교실, 음성언어 의학연구소) ;
  • 남태욱 (건국대학교 의과대학 이비인후과학교실)
  • Published : 2002.06.01

Abstract

We present a case of nasopharyngeal stenosis which developed after adenotonsillectomy. A 11-year-old boy underwent adenotonsillectomy because of snoring at a local clinic using a $CO_2$ LASER. After the operation, he cannot breathe via nose due to severe cicatrical nasopharyngeal stenosis. Nasopharyngeal stenosis and oropharyngeal stenosis are rare and challenging problems in the pediatric population. The most common etiology is currently the surgical trauma associated with adenotonsillectomy. Stenosis can vary from a thin band to a complete obstructing cicatrix. Presenting symptoms range from mild hyponasal speech to severe airway obstruction. We treated the patient with velopharyngoplasty using two separate rotational mucosal flaps.

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