Severe pharyngeal stenosis is a debilitating condition associated with apnea and dysphagia. Treatment options include local flaps and free mucosal grafts. We present 2 cases of severe stenosis, apparently from adenotonsillectomy, that failed more conservative repairs. Both were treated successfully with a sternocleidomastoid myocutaneous flap rotated in through a lateral pharyngotomy. No further treatment has been required. Technical considerations and operative planning are discussed.
KazanjianVHHolmesEM. Stenosis of the nasopharynx and its correction. Arch Otolaryngol1946; 44: 261–73.
11.
KazanjianVH. Stenosis of the oropharynx. J Oral Surg1945; 3: 164–9.
12.
StepnickDW. Management of total nasopharyngeal stenosis following UPPP. Ear Throat Nose J1993; 72: 86–90.
13.
UrkenMLBillerHF. Atlas of regional and free flaps for head and neck reconstruction. New York, NY: Raven Press, 1996: 49–64.
14.
AriyanS. One stage reconstruction for defects of the mouth using a sternomastoid myocutaneous flap. Plast Reconstr Surg1979; 63: 618–25.
15.
BugisSYoungJArchibaldSD. Sternocleidomastoid flap following parotidectomy. Head Neck1990; 12: 430–5.
16.
O'BrienB. A muscle-skin pedicle for total reconstruction of the lower lip: Case report. Plast Reconstr Surg1970; 45: 395–9.
17.
LarsonDLGoepfertH. Limitations of the sternocleidomastoid musculocutaneous flap in head and neck cancer reconstruction. Plast Reconstr Surg1982; 70: 328–35.
