Skip to main content
    • Aa
    • Aa

Acquired nasopharyngeal stenosis in a patient with sarcoidosis

  • J R Brodsky (a1), S A Tatum (a1) and R T Kelley (a1)

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.

Case report:

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.

Corresponding author
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:
Hide All

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

Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1NN Chheda , GN Postma . Balloon dilation of an acquired nasopharyngeal stenosis. Otolaryngol Head Neck Surg 2009;140:939–41

3YP Krespi , A Kacker . Management of nasopharyngeal stenosis after uvulopalatoplasty. Otolaryngol Head Neck Surg 2000;123:692–5

4E Toh , AW Pearl , EM Genden , W Lawson , ML Urken . Bivalved palatal transposition flaps for the correction of acquired nasopharyngeal stenosis. Am J Rhinol 2000;14:199204

5LM Jones , VL Guillory , EA Mair . Total nasopharyngeal stenosis: treatment with laser excision, nasopharyngeal obturators, and topical mitomycin-C. Otolaryngol Head Neck Surg 2005;133:795–8

6MC Iannuzzi , BA Rybicki , AS Teirstein . Sarcoidosis. N Engl J Med 2007;357:2153–65

7A Lazarus . Sarcoidosis: epidemiology, etiology, pathogenesis, and genetics. Dis Mon 2007;55:649–60

8JJ Braun , A Gentine , G Pauli . Sinonasal sarcoidosis: review and report of fifteen cases. Laryngoscope 2004;114:1960–3

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *