Boles Kathryn S, Casler John D, Porter Steven B
From the Departments of Anesthesiology and Perioperative Medicine.
Otolaryngology, Mayo Clinic, Jacksonville, Florida.
A A Pract. 2018 Sep 1;11(5):124-127. doi: 10.1213/XAA.0000000000000758.
Oropharyngeal stenosis can manifest as a rare complication after surgery for obstructive sleep apnea or tonsillectomy. Scar tissue formation from oropharyngeal stenosis may impede tracheal intubation or laryngeal mask airway insertion. We report the case of an asymptomatic adult woman found to have oropharyngeal stenosis after induction of anesthesia and discuss the management of this challenging scenario. We also contrast oropharyngeal stenosis with nasopharyngeal stenosis, another rare complication of uvulopalatopharyngoplasty.
口咽狭窄可表现为阻塞性睡眠呼吸暂停手术或扁桃体切除术后罕见的并发症。口咽狭窄形成的瘢痕组织可能会妨碍气管插管或喉罩置入。我们报告了一例在麻醉诱导后发现口咽狭窄的无症状成年女性病例，并讨论了这一具有挑战性情况的处理方法。我们还将口咽狭窄与鼻咽狭窄进行了对比，后者是悬雍垂腭咽成形术的另一种罕见并发症。
