The Journal of Laryngology & Otology

Clinical Records

Acquired nasopharyngeal stenosis in a patient with sarcoidosis

J R Brodskya1 c1, S A Tatuma1 and R T Kelleya1

a1 Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, New York, USA

Abstract

Acquired nasopharyngeal stenosis typically occurs as a result of surgery or irradiation of the nasopharynx. Sarcoidosis has numerous manifestations in the head and neck region, although an association with nasopharyngeal stenosis has not previously been reported.

A 40-year-old man with sarcoidosis developed severe acquired nasopharyngeal stenosis. This was successfully managed with balloon dilatation, followed by pharyngoplasty with local pharyngeal flap reconstruction.

This report is intended to prompt consideration of nasopharyngeal stenosis as a potential cause of nasal obstruction in patients with sarcoidosis, and to draw attention to the need to consider sarcoidosis in the differential diagnosis of patients with acquired nasopharyngeal stenosis. We also demonstrate the viability of pharyngoplasty in the management of nasopharyngeal stenosis in the setting of sarcoidosis.

(Accepted January 24 2012)

(Online publication August 29 2012)

Key words

  • Sarcoidosis;
  • Nasopharynx;
  • Stenosis

Correspondence:

c1 Address for correspondence: Dr Jacob R Brodsky, Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, 300 Longwood Avenue, Lo-367Boston, MA02115 Fax: +781 216 3155 E-mail: jacob.brodskyj@childrens.harvard.edu

Footnotes

  Presented as a poster at the Triological Society Meeting at the Combined Otolaryngological Sections Meeting, 29 April to 1 May 2010, Las Vegas, Nevada, USA

  Dr J R Brodsky takes responsibility for the integrity of the content of the paper

Competing interests: None declared