| Autor: |
Alves Dias Fernandes, Juliana, Mello de Godoy, Luciana Balester, Antônio Pinto, José, Sobreira Nunes, Heloisa dos Santos, Franco Carregosa, Fernanda, Braga Vilela Silva, Joyce Rios, Masatsune Kageyama, Rodrigo |
| Předmět: |
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| Zdroj: |
International Archives of Otorhinolaryngology; 2022 Supplement, Vol. 26, p44-44, 1/4p |
| Abstrakt: |
Introduction: Acquired nasopharyngeal stenosis (ENF)can be defined as the partial or total obliteration of the communication between the nasopharynx and the oropharynx, due to the formation of scar tissue normally associated with a postoperative complication with difficult resolution. Objectives: To report the surgical treatment of nasopharyngeal stenosis due to a postoperative complication using the stent palatoplasty technique. Resumed report: J.T.A.B, male, 60 years old with sleep fragmentation and nocturnal apnea attacks for 1 year. He performed uvulectomy surgery in January/2022 and after 2 months, tonsillectomy evolving with postoperative hemorrhage requiring ICU admission and tracheostomy for 2 weeks. He presented worsening of nocturnal apnea, evolving with dyspnea and a feeling of suffocation. In May 2022, polysomnography was performed with AHI 38, saturation 94%, RDI of 43 and nasofibrolaryngoscopy with signs of surgical manipulation of uvulectomy and tonsillectomy, significant fibrosis of the palatal region and hypopharynx, oropharyngeal synechiae with healing in a zipper leading to narrowing of the via area with right palatal fistula. In June/22, preoperative sleep endoscopy, tracheostomy and surgery to correct nasopharyngeal stenosis were performed using the palatoplasty technique with a triangular flap and placement of a stent (0.1mm silicone plate) from the rhinopharynx to the oropharynx. Patient with excellent postoperative evolution was decannulated after 1 week. Visualized through nasofibrolaryngoscopy, well-placed stent with nasopharyngeal patency, defining operative success. Conclusion: ENF is a serious complication that is difficult to surgically manage, but the use of the palatoplasty technique proved to be a good therapeutic option. The patient who underwent this technique evolved well in the 15 day postoperative follow-up and was followed up for stent removal 1 month after the procedure. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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