Abstract
Objectives
Nasopharyngeal stenosis is a rare and challenging problem that is difficult to treat successfully. We present a novel solution in a patient with idiopathic inflammatory nasopharyngeal stenosis by using a tracheoesophageal puncture prosthesis.
Methods
Case report and review of the literature.
Results
We present the case of a 51-year-old man with an aggressive idiopathic inflammatory process of the nasal cavity resulting in complete nasopharyngeal stenosis. Despite numerous surgical interventions and obturator placement, stenosis recurred. Eventually, a tracheoesophageal voice prosthesis was placed through a controlled puncture in the nasopharyngeal stenosis which has successfully relieved his symptoms. Various treatments within the literature are discussed.
Conclusions
The use of a tracheoesophageal puncture voice prosthesis in treating nasopharyngeal stenosis is a novel solution to a difficult problem and may be considered in recalcitrant cases.
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