The treatment of nasopharyngeal stenosis is challenging because of a high incidence of recurrence after surgical
correction. Therefore, many treatment modalities are being tried to cure this problem. The aim of this study is to assess the
efficacy of palatal eversion as a new technique for treatment of nasopharyngeal stenosis after adenotonsillectomy.
This study was conducted on 12 patients with nasopharyngeal stenosis after adenotonsillectomy were subjected to
treatment by palatal eversion by dividing the soft palate in the midline and removal of the fibrous tissue causing stenosis followed
by evertion and fixation of the two palatal division on either side for six weeks to allow complete epithelialization of the stenotic
area followed by another operation to reunion the soft palate in the midline. Post-operative follow up was done for one year by
flexible nasopharyngoscopy, perceptual speech analysis and polysomnography.
Flexible nasopharyngosopic examination of the 12 patients at the end of post-operative period revealed a freely mobile
soft palate with no nasopharyngeal stenosis or palatal fistula. Velopharyngeal function and speech assessment by perceptual
speech analysis was normal in all 12 cases. No obstructive episodes were recorded in polysomnograms.
Palatal eversion is a promising technique in treatment of post?adenotonsillectomy nasopharyngeal stenosis and it is
recommended to be used in a wider scale of patients and other indications as nasopharyngeal stenosis following uvulopalatoplasty
and post nasopharyngeal radiotherapy.
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