A Case of Pharyngeal Stenosis Caused by Behçet's Disease Treated With Transoral Videolaryngoscopic Surgery.

Autor:	Suekata Y; Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, JPN., Hosokawa K; Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, JPN., Kawasaki T; Respiratory Medicine and Clinical Immunology,, Osaka University Graduate School of Medicine, Osaka, JPN., Nakatsubo D; Respiratory Medicine and Clinical Immunology, Osaka University Graduate School of Medicine, Osaka, JPN., Tanida M; Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, JPN., Ogawa M; Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, JPN., Inohara H; Otorhinolaryngology - Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, JPN.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Jan 10; Vol. 15 (1), pp. e33616. Date of Electronic Publication: 2023 Jan 10 (Print Publication: 2023).
DOI:	10.7759/cureus.33616
Abstrakt:	Behçet's disease is a refractory inflammatory disease characterized by recurrent oral aphthous ulcers. Ulcers are commonly seen in the oral cavity and the pharyngeal region. In patients with recurrent pharyngeal ulcers, pharyngeal stenosis may occur and leads to dysphagia. Herein, we report a case of pharyngeal stenosis caused by recurrent ulcers due to incomplete Behçet's disease. Prednisolone, colchicine, and infliximab were administered and resolved the pharyngeal ulcers, however, dysphagia persisted. To improve the swallowing function, a pharyngeal dilation surgery and transoral videolaryngoscopic surgery were performed, which resulted in an enlarged pharyngeal cavity. Oral intake of water was initiated the day after surgery, and after six days, the patient was able to take a normal diet. The pharyngeal stenosis had not recurred for one year after the surgery, and a normal diet continued without any dietary restrictions. Therefore, in a case of a severe oropharyngeal lesion, periodic follow-up and surgical interventions by an otolaryngologist are necessary. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Suekata et al.)
Databáze:	MEDLINE
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