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Management of nasopharyngeal stenosis following uvulopalatopharyngoplasty / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery ; (12): 100-103, 2007.
Artigo em Chinês | WPRIM | ID: wpr-262841
ABSTRACT
<p><b>OBJECTIVE</b>Severe nasopharyngeal stenosis (NPS) is a rare complication of uvulopalatopharyngoplasty (UPPP) and very difficult to manage. This report presents our successful treatment experience.</p><p><b>METHODS</b>From Nov 1997 to Feb 2006, 6 adults patients with NPS secondary to UPPP were treated in Peking Union Hospital. Two cases was grade II stenosis, received surgery of local pharyngeal and soft palate mucosa flap rotation to enlarge nasopharyngeal airway with stenosis; For the remaining 4 cases with more severe NPS (grade III) who had received 1-3 times unsuccessful repair procedures previously, prolonged nasopharyngeal hollow obturators were used for 6 months after stenosis repair surgery.</p><p><b>RESULTS</b>With 9-48 months follow-up, All cases results were satisfactory. Nasal obstruction symptom was eliminated, NPS corrected, no velopharyngeal insufficiency complication happened. Daytime removable nasopharyngeal hollow stent obturators with palate support device is more comfortable for patients.</p><p><b>CONCLUSIONS</b>Local flap rotation to enlarge stenosis airway and prolonged use nasopharyngeal hollow obturators are reliable methods of correction NPS following UPPP.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Palato Mole / Faringe / Reoperação / Cirurgia Geral / Procedimentos Cirúrgicos Otorrinolaringológicos / Úvula / Doenças Nasofaríngeas / Cicatriz / Resultado do Tratamento / Métodos Limite: Adulto / Humanos / Masculino Idioma: Chinês Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Ano de publicação: 2007 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Palato Mole / Faringe / Reoperação / Cirurgia Geral / Procedimentos Cirúrgicos Otorrinolaringológicos / Úvula / Doenças Nasofaríngeas / Cicatriz / Resultado do Tratamento / Métodos Limite: Adulto / Humanos / Masculino Idioma: Chinês Revista: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Ano de publicação: 2007 Tipo de documento: Artigo