S157 – A Novel Approach to Managing Nasopharyngeal Stenosis

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.