Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Key Laboratory of Otolaryngology Head and Neck Surgery (Capital Medical University), Ministry of Education, Beijing, P.R. China.
Ear Nose Throat J. 2024 Jun;103(6):384-389. doi: 10.1177/01455613211053427. Epub 2021 Nov 24.
We aimed to summarize the surgical treatment for pharyngolaryngeal stenosis and discuss prognosis in patients with Behcet's disease. Six cases of pharyngolaryngeal stenosis caused by Behcet's disease were analyzed retrospectively. All underwent surgical treatment for pharyngolaryngeal stenosis after systematic medical treatment. The follow-up time for the 6 patients was between 1 and 12 years. Four of the 6 patients underwent adhesiolysis as their first procedure. Two of these 4 experienced recurrence of stenosis within 6 months and underwent flap repair as their second procedure. The remaining two patients underwent flap reconstruction as their first procedure and maintained good swallowing function. Three of the 6 patients underwent preoperative tracheotomy because of dyspnea. Tracheal decannulation was successful in all patients. None of the patients experienced recurrence after their final surgical procedure and all recovered to a near-normal condition. Pharyngolaryngeal stenosis caused by Behcet's disease is a rare but severe complication; surgical intervention should be considered in patients with dysphagia after systematic medical treatment.
我们旨在总结贝赫切特病所致咽喉狭窄的外科治疗方法，并探讨其预后。回顾性分析 6 例贝赫切特病所致咽喉狭窄患者。所有患者均经系统药物治疗后行咽喉狭窄外科治疗。6 例患者的随访时间为 1 至 12 年。6 例患者中 4 例行松解粘连术作为初始治疗，其中 2 例在 6 个月内再次发生狭窄，行皮瓣修复术作为二期治疗，其余 2 例行皮瓣重建术作为初始治疗，吞咽功能良好。6 例患者中有 3 例因呼吸困难术前行气管切开术，所有患者均成功拔管。所有患者末次手术后均无复发，恢复至接近正常状态。贝赫切特病所致咽喉狭窄罕见但后果严重，系统药物治疗后出现吞咽困难者应考虑外科干预。
