Oropharyngeal Stenosis Caused by Significant Scar Hyperplasia Following Tonsillectomy: A Case Report.
Zhi-Tao Fan, Xue-Xia Wang, Wen-Xin Dong et al.
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Case in brief
A 5-year-old girl presented with snoring during sleep and episodes of suffocation. She had undergone tonsillectomy and adenoidectomy three years earlier. Evaluation identified oropharyngeal stenosis associated with significant scar hyperplasia. Combined surgical treatment and triamcinolone injections led to substantial symptomatic improvement, with no recurrence reported to date.
What made this case unusual
The stenosis was attributed to significant scar hyperplasia after tonsillectomy, an association the report describes as its first reported case. Whether this type of scar is prone to recurrence, as skin scar hypertrophy may be, remains unknown.
Diagnostic / clinical pearl
In a child with snoring or suffocation after tonsillectomy, consider oropharyngeal stenosis; significant scar hyperplasia may underlie the narrowing.