International Journal of Pediatric Otorhinolaryngology Extra
Volume 5, Issue 1 , Pages 23-27 , January 2010

Management of pharyngeal stenosis following tonsillectomy with local injection of steroids: Case report and literature review

  • Nicolas Leboulanger

      Affiliations

    • Armand-Trousseau Children Hospital, Pediatric ENT Department, AP-HP, 75012 Paris, France
    • UPMC Univ. Paris 06, France
    • INSERM U-587 Paris, France
    • Corresponding Author InformationCorresponding author at: Service d’ORL et de Chirurgie Cervico-Faciale, Hôpital d’Enfants Armand Trousseau, 75012 Paris, France. Tel.: +33 144736114; fax: +33 144736108.
    • ,
  • Gilles Roger

      Affiliations

    • Armand-Trousseau Children Hospital, Pediatric ENT Department, AP-HP, 75012 Paris, France
    • UPMC Univ. Paris 06, France
    • INSERM U-587 Paris, France
    • ,
  • Erwan Genty

      Affiliations

    • Armand-Trousseau Children Hospital, Pediatric ENT Department, AP-HP, 75012 Paris, France
    • UPMC Univ. Paris 06, France
    • INSERM U-587 Paris, France
    • ,
  • Eréa Noël Garabedian

      Affiliations

    • Armand-Trousseau Children Hospital, Pediatric ENT Department, AP-HP, 75012 Paris, France
    • UPMC Univ. Paris 06, France
    • INSERM U-587 Paris, France
    • ,
  • Françoise Denoyelle

      Affiliations

    • Armand-Trousseau Children Hospital, Pediatric ENT Department, AP-HP, 75012 Paris, France
    • UPMC Univ. Paris 06, France
    • INSERM U-587 Paris, France

Received 10 December 2008 ,Revised 7 January 2009 ,Accepted 13 January 2009.

References 

  1. Randall DA, Hoffer ME. Complications of tonsillectomy and adenoidectomy. Otolaryngol. Head Neck Surg. 1998;118(January (1)):61–68
  2. Johnson LB, Elleru RG, Myer CM. Complications of adenotonsillectomy. Laryngoscope. 2002;112(August (8 Pt 2 Suppl. 100)):35–36
  3. Mc Laughlin KE, Jacobs IN, Todd NW, Gussack GS, Carlsan G. Management of nasopharyngeal and oropharyngeal stenosis in children. Laryngoscope. 1997;107(October (10)):1322–1331
  4. Giannoni C, Suleck M, Friedman EM, Ducan O. Acquired nasopharyngeal Stenosis: a warning and review. Arch. Otolaryngol. Head Neck Surg. 1998;124(February (2)):163–167
  5. Mac Kenty JE. Nasopharyngeal atresia. Arch. Otolaryngol. 1927;6:1–27
  6. Kazanjian VH, Holmes EM. Stenosis of the nasopharynx and its correction. Arch. Otolaryngol. 1946;44:261–273
  7. Vaughn HS. Nasopharyngeal stenosis: correction by transposed flaps. Plast. Reconstr. Surg. 1949;4:522–527
  8. Woolf RM, Broadbent TR. Nasopharyngeal stenosis following tonsillectomy and adenoidectomy. Plast. Reconstr. Surg. 1970;45(April (4)):352–355
  9. Bennhoff DF. Current management of nasopharyngeal stenosis: indication for Z-plasty. Laryngoscope. 1979;89(October (10 Pt 1)):1585–1592
  10. Cotton RT. Nasopharyngeal stenosis. Arch. Otolaryngol. 1985;111(March (3)):146–148
  11. Stepnick DW. Management of total nasopharyngeal stenosis following UPPP. Ear Nose Throat J. 1993;72:86–90
  12. Jalali M, Bayat A. Current use of steroids in management of abnormal raised skin scars. Surgeon. 2007;5(3):175–180
  13. Santos VB, Duffy MD, Poliser IA. Stenosis of oropharynx treated with intralesional triamcinolone. Ear Nose Throat J. 1977;56:164–167
  14. Stewart CE, Kim JY. Application of mitomycin C for head and neck keloids. Otolaryngol. Head Neck Surg. 2006;135(6):946–950
  15. Hayles AB, Devine KD, McDonald TJ. Nasopharyngeal stenosis following tonsillectomy. Report of six cases and their repair. Arch. Otolaryngol. 1973;98(July (1)):38–41
  16. Liu MF, Yencha M. Cushing's syndrome secondary to intralesional steroid injections of multiple keloid scars. Otolaryngol. Head Neck Surg. 2006;135(December (6)):960–961
  17. Ritota PC, Lo AK. Cushing's syndrome in postburn children following intralesional triamcinolone injection. Ann. Plast. Surg. 1996;36(May (5)):508–511
  18. Iglesias P, González J, Díez JJ. Acute and persistent iatrogenic Cushing's syndrome after a single dose of triamcinolone acetonide. J. Endocrinol. Invest. 2005;28(December (11)):1019–1023
  19. Hengge UR, Ruzicka T, Schwartz RA, Cork MJ. Adverse effects of topical glucocorticosteroids. J. Am. Acad. Dermatol. 2006;54(January (1)):1–15
  20. Myers WT, Leong M, Phillips LG. Optimizing the patient for surgical treatment of the wound. Clin. Plast. Surg. 2007;34(October (4)):607–620
  21. Mandell DL, Yellon RF. Synchronous airway lesions and esophagitis in young patients undergoing adenoidectomy. Arch. Otolaryngol. Head Neck Surg. 2007;133(April (4)):375–378

PII: S1871-4048(09)00006-9

doi: 10.1016/j.pedex.2009.01.002

International Journal of Pediatric Otorhinolaryngology Extra
Volume 5, Issue 1 , Pages 23-27 , January 2010

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