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Acquired nasopharyngeal stenosis in a patient with sarcoidosis

Published online by Cambridge University Press:  29 August 2012

J R Brodsky ,
S A Tatum  and
R T Kelley
J R Brodsky*
Affiliation:
Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, New York, USA
S A Tatum
Affiliation:
Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, New York, USA
R T Kelley
Affiliation:
Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, New York, USA
*
Address for correspondence: Dr Jacob R Brodsky, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, 300 Longwood Avenue, Lo-367Boston, MA02115 Fax: +781 216 3155 E-mail: jacob.brodskyj@childrens.harvard.edu
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Abstract

Introduction:

Acquired nasopharyngeal stenosis typically occurs as a result of surgery or irradiation of the nasopharynx. Sarcoidosis has numerous manifestations in the head and neck region, although an association with nasopharyngeal stenosis has not previously been reported.

Case report:

A 40-year-old man with sarcoidosis developed severe acquired nasopharyngeal stenosis. This was successfully managed with balloon dilatation, followed by pharyngoplasty with local pharyngeal flap reconstruction.

Conclusion:

This report is intended to prompt consideration of nasopharyngeal stenosis as a potential cause of nasal obstruction in patients with sarcoidosis, and to draw attention to the need to consider sarcoidosis in the differential diagnosis of patients with acquired nasopharyngeal stenosis. We also demonstrate the viability of pharyngoplasty in the management of nasopharyngeal stenosis in the setting of sarcoidosis.

Keywords

SarcoidosisNasopharynxStenosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 11 , November 2012 , pp. 1182 - 1185
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented as a poster at the Triological Society Meeting at the Combined Otolaryngological Sections Meeting, 29 April to 1 May 2010, Las Vegas, Nevada, USA

References

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