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September 1987

Reconstruction of Total Nasopharyngeal Stenosis

Arch Otolaryngol Head Neck Surg. 1987;113(9):918. doi:10.1001/archotol.1987.01860090016003

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James C. Denneny, MD, Indianapolis, at the Denver meeting of the American Academy of Facial Plastic and Reconstructive Surgery, reviewed the etiology of nasopharyngeal stenosis from congenital to acquired. Symptoms of nasopharyngeal stenosis include loss of smell, snoring, rhinorrhea, and otalgia. The diagnosis is made with either mirror examination, air insufflation and, occasionally, computed tomographic scans and roentgenograms. Treatment includes dilatation, stenting, mucosal flaps, skin flaps, and skin grafts.

Dr Denneny's report discussed the repair of eight patients who underwent a total of nine procedures. All procedures were revisions, and all cases were secondary to tonsillectomy and adenoidectomy procedures. The procedure used was division of the soft palate in the midline, excision of scar up to the level of the eustachian tube, and suturing of a split-thickness skin graft to the posterior wall and lateral to the nasopharynx. Stenting was employed using nasopharyngeal tubes. All eight patients had failed other

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