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“Thai Noodle”: A Novel Technique for Post Radiation Choanal Stenosis

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Abstract

The aim of this retrospective study is to describe a novel endoscopic technique to treat post radiation choanal stenosis. We describe a novel “Thai noodle” silastic splint, which is tailor-made, increases compliance, reduces pain and recurrence. A retrospective study over a period of 2 years was done to evaluate the results of our “Thai noodle” technique, which included 4 patients who had previously been treated with conventional endoscopic release and commercially available nasal airway splint. All patients were followed up for a period of 1 year. All 4 patients, which included 3 females and 1 male, were treated with our novel technique. All the patients remained symptom free and none required further intervention. The Thai noodle technique customises the splint for every patient, which along with an adequately done posterior septectomy increases patient comfort and reduces recurrence which is seen with conventional airway splints.

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Acknowledgements

Heartfelt thanks to all the staff members of the Department of ENT at KEM Hospital and all the subjects for their kind cooperation.

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Authors

Contributions

Dr Hetal Marfatia and Dr Anav Rattan wrote and edited the article. Dr Rekha Choudhary helped in data collection. Dr Huneeti Vira helped in references.

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Correspondence to Anav Rattan.

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Ethical Approval

The study was approved by the Institutional Ethics Committee (Seth GS Medical College and KEM hospital, Mumbai) IEC(III)/OUT/31/2024. The research was conducted ethically, with all study procedures being performed in accordance with the requirements of the World Medical Association’s Declaration of Helsinki. Written informed consent was obtained from each participant/patient for study participation and data publication.

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Marfatia, H., Choudhary, R., Rattan, A. et al. “Thai Noodle”: A Novel Technique for Post Radiation Choanal Stenosis. Indian J Otolaryngol Head Neck Surg (2024). https://doi.org/10.1007/s12070-024-04829-y

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