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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

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