Evidence map›Paper›PMID 42867648›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Modified barbed reposition pharyngoplasty with symmetrical flap for acquired nasopharyngeal stenosis.

Kazumi Okuno, Shintaro Chiba, Robson Capasso, Aya Honma, Yoshinori Saito, Yosuke Shimamura, Konomi Ikeda, Fumikazu Ota

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Kazumi OkunoOta Sleep Science Center, Kawasaki City Hospital, 1-50 Nisshin-cho, Kawasaki-ku, Kawasaki-city, Kanagawa, 210-0024, Japan.ORCID http://orcid.org/0009-0006-9688-7364
Shintaro ChibaOta Sleep Science Center, Kawasaki City Hospital, 1-50 Nisshin-cho, Kawasaki-ku, Kawasaki-city, Kanagawa, 210-0024, Japan. s.chiba3387@gmail.com.ORCID http://orcid.org/0000-0003-0402-8038
Robson CapassoDepartment of Otolaryngology - Head and Neck Surgery, Stanford University Medical Center, Stanford, USA.
Aya HonmaDepartment of Otolaryngology-Head and Neck Surgery, Hokkaido University, Sapporo, Japan.
Yoshinori SaitoDepartment of Otorhinolaryngology, The Jikei University Hospital, Tokyo, Japan.
Yosuke ShimamuraOta General Hospital, Kawasaki, Japan.
Konomi IkedaDepartment of Otorhinolaryngology, The Jikei University Hospital, Tokyo, Japan.
Fumikazu OtaOta General Hospital, Kawasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcquired nasopharyngeal stenosis (NPS) is a rare but serious complication following tonsillectomy or laser-assisted uvulopalatoplasty, leading to choking sensation and impaired nasal breathing. This study aimed to describe a modified pharyngoplasty technique and report its short-term outcomes.

methodsA retrospective analysis was conducted on five patients with acquired NPS who underwent the procedure between 2017 and 2025. All cases were refractory to conservative treatment. The surgical technique involved symmetrical mucosal flaps combined with absorbable barbed sutures to achieve stable expansion of the pharyngeal airway.

resultsAll patients showed rapid improvement in choking sensation and nasal breathing postoperatively. Normal speech and oral intake were possible from the day after surgery. During follow-up (5 months-2 years), no restenosis or major complications were observed, and endoscopic findings confirmed sustained airway patency.

conclusionThis technique can be performed safely in a single session without muscle resection or stenting and demonstrated favorable short-term outcomes. It may represent a practical surgical option for selected patients with acquired NPS. Further studies are required to confirm long-term efficacy.

Indexed as

Barbed reposition pharyngoplastyLaser-assisted uvulopalatoplastyNasopharyngeal stenosisPharyngoplastyUpper airway surgery

Identifiers

PMID42867648

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