Current management of nasopharyngeal stenosis: indications for Z-plasty

Abstract

Nasopharyngeal stenosis is not commonly seen at present. Formerly most often due to various severe infections of the upper respiratory tract, the most common current etiology is involvement of posterior pillars at the time of tonsillo-adenoidectomy. A brief review of the historical evolution of treating this problem is summarized. Various degrees of stenosis may occur with varying handicaps requiring surgical correction, utilizing plastic and reconstructive surgical techniques. Three such individuals treated by individually designed flaps with successful outcome are reviewed. Caveats regarding the primary surgical procedure and recommendations appropriate to the secondary surgical correction are outlined.