Acquired Nasopharyngeal Stenosis Correction Using a Modified Palatal Flaps Technique in Obstructive Sleep Apnea (OSA) Patients

Giovanni Cammaroto, Luigi Marco Stringa, Luca Cerritelli, Giulia Bianchi, Giuseppe Meccariello, Riccardo Gobbi, Giannicola Iannella, Giuseppe Magliulo, Henry Zhang, Ahmed Yassin Baghat, Francesco Galletti, Stefano Pelucchi, Francesco Stomeo, Muawya Bani Younes, Mohamed AlAjmi, Andrea De Vito and Claudio Vicini
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Giovanni Cammaroto: Head and Neck Department, ENT & Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, 47100 Forlì, Italy
Luigi Marco Stringa: Department of Otolaryngolgy, Head and Neck Surgery, University of Ferrara, 44121 Ferrara, Italy
Luca Cerritelli: Department of Otolaryngolgy, Head and Neck Surgery, University of Ferrara, 44121 Ferrara, Italy
Giulia Bianchi: Department of Otolaryngolgy, Head and Neck Surgery, University of Ferrara, 44121 Ferrara, Italy
Giuseppe Meccariello: Head and Neck Department, ENT & Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, 47100 Forlì, Italy
Riccardo Gobbi: Head and Neck Department, ENT & Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, 47100 Forlì, Italy
Giannicola Iannella: Head and Neck Department, ENT & Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, 47100 Forlì, Italy
Giuseppe Magliulo: Department of ‘Organi di Senso’, University “Sapienza”, 00100 Rome, Italy
Henry Zhang: Department of Otolaryngology, Head and Neck, Royal London Hospital, Whitechapel road, E11BB London, UK
Ahmed Yassin Baghat: Department of Otorhinolaryngology, Alexandria University, Alexandria 22206, Egypt
Francesco Galletti: Head and Neck Department, ENT & Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, 47100 Forlì, Italy
Stefano Pelucchi: Department of Otolaryngolgy, Head and Neck Surgery, University of Ferrara, 44121 Ferrara, Italy
Francesco Stomeo: Department of Otolaryngolgy, Head and Neck Surgery, University of Ferrara, 44121 Ferrara, Italy
Muawya Bani Younes: Unit of Otolaryngology, Head and Neck Surgery, Sara Speciality Hospital, Amman 11118, Jordan
Mohamed AlAjmi: Department of Otolaryngology, Head and Neck Surgery, AL Nahdha Hospital, Muscat 111, Oman
Andrea De Vito: Head and Neck Department, ENT & Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, 47100 Forlì, Italy
Claudio Vicini: Head and Neck Department, ENT & Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, 47100 Forlì, Italy

IJERPH, 2020, vol. 17, issue 6, 1-9

Abstract: Background : Acquired nasopharyngeal stenosis is a rare and heterogeneous pathological condition that has different causes, generally resulting as a complication of a pharyngeal surgery, especially in patients affected by obstructive sleep apnea (OSA). Different approaches have been proposed for the treatment of nasopharyngeal stenosis but a unique and standardized management has not yet been presented. The aim of our paper is to evaluate the efficacy of our surgical technique, describing its steps and results with the aim to consider it as a possible solution for the treatment of this condition. Methods : This is a retrospective cohort study. Eight patients (mean age 27.25 years old (yo), range 8–67 yo; Male/Female ratio 4/4; mean body mass index (BMI) 26.1) affected by OSA (mean apnea hypopnea index (AHI) before OSA surgery was 22.1) and acquired nasopharyngeal stenosis as a consequence of different pharyngeal surgeries were treated with our modified approach in the Department of Otolaryngology, Morgagni Pierantoni Hospital, Forlì, Italy. Resolution of stenosis and complication rate were the main outcome measures. Results : Complete resolution of the stenosis was achieved in all cases and no complications were recorded at three weeks, six months, and 2 years follow-up. Conclusions : Our technique appears to be a promising method for the management of nasopharyngeal stenosis in OSA patients. However, further studies comparing different techniques and reporting on larger series and longer follow up time are needed to prove the efficacy of the proposed technique.

Keywords: nasopharyngeal stenosis; pharyngeal surgery; OSA; nasal obstruction (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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