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.
Similar content being viewed by others
References
Alon EE, Lipschitz N, Bedrin L, Gluck I, Talmi Y, Wolf M, Yakirevitch A (2014) Delayed sino-nasal complications of Radiotherapy for nasopharyngeal carcinoma. Otolaryngol Head Neck Surg 151(2):354–358. https://doi.org/10.1177/0194599814530858
Nassif SJ, Michel EG, Scott AR, Tracy L, Tracy JC (2023 May-Jun) Acquired nasopharyngeal stenosis after radiation treatment for nasopharyngeal carcinoma. Am J Otolaryngol 44(3). https://doi.org/10.1016/j.amjoto.2023.103819
Nitassi S, Kissi M, Rkain I, Benbouzid A, Oujilal A, Essakalli L (2019) Nasopharyngeal stenosis: a rare Radiotherapy complication. Indian J Otolaryngol Head Neck Surg. https://doi.org/10.1007/s12070-015-0954-0
Wang QY, Wang SQ, Lin S, Chen HH, Lu YY (2008) Transnasal endoscopic repair of acquired posterior choanal stenosis and atresia. Chin Med J (Engl) 121(12):1101–1104
Wang QY, Chai L, Wang SQ, Zhou SH, Lu YY Repair of acquired posterior Choanal stenosis and atresia by temperature-controlled radio frequency with the aid of an endoscope. Arch Otolaryngol Head Neck Surg. https://doi.org/10.1001/archoto.2009.22
Wilmot VV, Hathorn I (2017) Surgical management of nasal stenosis following chemoradiation for nasopharyngeal carcinoma. J Laryngol Otol 131(5):429–432. https://doi.org/10.1017/S0022215117000366
Ku PK, Tong MC, Tsang SS, van Hasselt A (2001 Jul-Aug) Acquired posterior choanal stenosis and atresia: management of this unusual complication after radiotherapy for nasopharyngeal carcinoma. Am J Otolaryngol 22(4):225–229. https://doi.org/10.1053/ajot.2001.24816
Ku PK, Tong MC, van Hasselt A (2007) Application of holmium yttrium aluminium garnet (YAG) laser in treatment of acquired posterior choanal atresia following radiotherapy for nasopharyngeal carcinoma. J Laryngol Otol 121(2):138–142. https://doi.org/10.1017/S0022215106003720
Acknowledgements
Heartfelt thanks to all the staff members of the Department of ENT at KEM Hospital and all the subjects for their kind cooperation.
Funding
Not applicable.
Author information
Authors and Affiliations
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.
Corresponding author
Ethics declarations
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.
Conflict of Interest
There is no potential conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
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
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12070-024-04829-y