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The ancient practice of sutra neti leading to velopharyngeal stenosis: case report

Published online by Cambridge University Press:  07 June 2019

H Tiwana ,
R S Virk  and
V Gautam
H Tiwana
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
R S Virk*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
V Gautam
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
*
Author for correspondence: Professor Ramandeep Singh Virk, Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India E-mail: [email protected] Fax: +91 981 422 2220
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Abstract

Background

An ancient yoga technique called sutra neti, which is extensively used in India to keep the sinuses healthy, led to complete velopharyngeal stenosis in a 67-year-old male patient who presented with bilateral nasal obstruction, mouth breathing, anosmia and a change in voice.

Method

The patient was diagnosed by nasal endoscopy using a zero-degree Hopkins rod endoscope, and adhesions were released using coblation.

Results

The patient had post-operative alleviation of symptoms and a patent velopharyngeal inlet on examination.

Conclusion

Vigorous sutra neti can lead to velopharyngeal stenosis. Release of the stenosis is then required to cure the nasal blockade.

Keywords

NasopharyngealStenosis
Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 8 , August 2019 , pp. 730 - 732
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Professor R S Virk takes responsibility for the integrity of the content of the paper

References

1Ramalingam, KK, Smith, MC. Simple treatment for snoring also a means of prediction of uvulopalatopharyngoplasty success? J Laryngol Otol 1990;104:428–9Google Scholar
2Hussein, J, Tan, TS, Chong, AW, Narayanan, P, Omar, R. Velopharyngeal and choanal stenosis after radiotherapy for nasopharyngeal carcinoma. Auris Nasus Larynx 2013;40:323–6Google Scholar
3Krespi, YP, Kacker, A. Management of nasopharyngeal stenosis after uvulopalatoplasty. Otolaryngol Head Neck Surg 2000;123:692–5Google Scholar
4Giannoni, C, Sulek, M, Friedman, EM, Duncan, NO 3rd. Acquired nasopharyngeal stenosis: a warning and a review. Arch Otolaryngol Head Neck Surg 1998;124:163–7Google Scholar
5Stevenson, EW. Cicatricial stenosis of the nasopharynx. A comprehensive review. Laryngoscope 1969;79:2035–67Google Scholar
6Fairbanks, DN. Uvulopalatopharyngoplasty complications and avoidance strategies. Otolaryngol Head Neck Surg 1990;102:239–45Google Scholar
7Lee, SC, Tang, IP, Singh, A, Kumar, SS, Singh, S. Velopharyngeal stenosis, a late complication of radiotherapy. Auris Nasus Larynx 2009;36:709–11Google Scholar
8Abdel-Fattah, G. Palatal eversion for the treatment of combined nasopharyngeal stenosis and tonsillar pillars adhesion. Int J Pediatr Otorhinolaryngol 2016;90:227–30Google Scholar
9Tompkins, JJ, Vaughn, CA, Shaikh, FA, Stocks, RM, Thompson, JW. Palatopharyngoplasty with bilateral buccal mucosal graft repair to alleviate oropharyngeal stenosis. Int J Pediatr Otorhinolaryngol 2015;79:1579–81Google Scholar
10Wan, DC, Kumar, A, Head, CS, Katchikian, H, Bradley, JP. Amelioration of acquired nasopharyngeal stenosis, with bilateral Z-pharyngoplasty. Ann Plast Surg 2010;64:747–50Google Scholar
11Jones, LM, Guillory, VL, Mair, EA. Total nasopharyngeal stenosis: treatment with laser excision, nasopharyngeal obturators, and topical mitomycin-C. Otolaryngol Head Neck Surg 2005;133:795–8Google Scholar
12Eppley, BL, Sadove, AM, Hennon, D, van Aalst, JA. Treatment of nasopharyngeal stenosis by prosthetic hollow stents: clinical experience in eight patients. Cleft Palate Craniofac J 2006;43:374–8Google Scholar
13Vicini, C, D'Agostino, G, Meccariello, G, De Virgilio, A, Montevecchi, F. Robotic-assisted surgery for the management of velopharyngeal insufficiency and nasopharyngeal stenosis. Clin Otolaryngol 2017;42:1432–4Google Scholar
14Karakoc, O, Polat, B, Akcam, M, Gerek, M. Endoscopy-assisted Coblation for nasopharyngeal stenosis: a report of 2 cases. Ear Nose Throat J 2017;96:E15–17Google Scholar
15Madgy, DN, Belenky, W, Dunkley, B, Shinhar, S. A simple surgical technique using the plasma hook for correcting acquired nasopharyngeal stenosis. Laryngoscope 2005;115:370–2Google Scholar