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A Case of Pharyngeal Stenosis Caused by Behçet’s Disease Treated With Transoral Videolaryngoscopic Surgery

Behçet’s disease is a refractory inflammatory disease characterized by recurrent oral aphthous ulcers. Ulcers are commonly seen in the oral cavity and the pharyngeal region. In patients with recurrent pharyngeal ulcers, pharyngeal stenosis may occur and leads to dysphagia. Herein, we report a case o...

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Autores principales: Suekata, Yu, Hosokawa, Kiyohito, Kawasaki, Takahiro, Nakatsubo, Daisuke, Tanida, Masashi, Ogawa, Makoto, Inohara, Hidenori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911262/
https://www.ncbi.nlm.nih.gov/pubmed/36788822
http://dx.doi.org/10.7759/cureus.33616
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author Suekata, Yu
Hosokawa, Kiyohito
Kawasaki, Takahiro
Nakatsubo, Daisuke
Tanida, Masashi
Ogawa, Makoto
Inohara, Hidenori
author_facet Suekata, Yu
Hosokawa, Kiyohito
Kawasaki, Takahiro
Nakatsubo, Daisuke
Tanida, Masashi
Ogawa, Makoto
Inohara, Hidenori
author_sort Suekata, Yu
collection PubMed
description Behçet’s disease is a refractory inflammatory disease characterized by recurrent oral aphthous ulcers. Ulcers are commonly seen in the oral cavity and the pharyngeal region. In patients with recurrent pharyngeal ulcers, pharyngeal stenosis may occur and leads to dysphagia. Herein, we report a case of pharyngeal stenosis caused by recurrent ulcers due to incomplete Behçet’s disease. Prednisolone, colchicine, and infliximab were administered and resolved the pharyngeal ulcers, however, dysphagia persisted. To improve the swallowing function, a pharyngeal dilation surgery and transoral videolaryngoscopic surgery were performed, which resulted in an enlarged pharyngeal cavity. Oral intake of water was initiated the day after surgery, and after six days, the patient was able to take a normal diet. The pharyngeal stenosis had not recurred for one year after the surgery, and a normal diet continued without any dietary restrictions. Therefore, in a case of a severe oropharyngeal lesion, periodic follow-up and surgical interventions by an otolaryngologist are necessary.
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spelling pubmed-99112622023-02-13 A Case of Pharyngeal Stenosis Caused by Behçet’s Disease Treated With Transoral Videolaryngoscopic Surgery Suekata, Yu Hosokawa, Kiyohito Kawasaki, Takahiro Nakatsubo, Daisuke Tanida, Masashi Ogawa, Makoto Inohara, Hidenori Cureus Otolaryngology Behçet’s disease is a refractory inflammatory disease characterized by recurrent oral aphthous ulcers. Ulcers are commonly seen in the oral cavity and the pharyngeal region. In patients with recurrent pharyngeal ulcers, pharyngeal stenosis may occur and leads to dysphagia. Herein, we report a case of pharyngeal stenosis caused by recurrent ulcers due to incomplete Behçet’s disease. Prednisolone, colchicine, and infliximab were administered and resolved the pharyngeal ulcers, however, dysphagia persisted. To improve the swallowing function, a pharyngeal dilation surgery and transoral videolaryngoscopic surgery were performed, which resulted in an enlarged pharyngeal cavity. Oral intake of water was initiated the day after surgery, and after six days, the patient was able to take a normal diet. The pharyngeal stenosis had not recurred for one year after the surgery, and a normal diet continued without any dietary restrictions. Therefore, in a case of a severe oropharyngeal lesion, periodic follow-up and surgical interventions by an otolaryngologist are necessary. Cureus 2023-01-10 /pmc/articles/PMC9911262/ /pubmed/36788822 http://dx.doi.org/10.7759/cureus.33616 Text en Copyright © 2023, Suekata et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Otolaryngology
Suekata, Yu
Hosokawa, Kiyohito
Kawasaki, Takahiro
Nakatsubo, Daisuke
Tanida, Masashi
Ogawa, Makoto
Inohara, Hidenori
A Case of Pharyngeal Stenosis Caused by Behçet’s Disease Treated With Transoral Videolaryngoscopic Surgery
title A Case of Pharyngeal Stenosis Caused by Behçet’s Disease Treated With Transoral Videolaryngoscopic Surgery
title_full A Case of Pharyngeal Stenosis Caused by Behçet’s Disease Treated With Transoral Videolaryngoscopic Surgery
title_fullStr A Case of Pharyngeal Stenosis Caused by Behçet’s Disease Treated With Transoral Videolaryngoscopic Surgery
title_full_unstemmed A Case of Pharyngeal Stenosis Caused by Behçet’s Disease Treated With Transoral Videolaryngoscopic Surgery
title_short A Case of Pharyngeal Stenosis Caused by Behçet’s Disease Treated With Transoral Videolaryngoscopic Surgery
title_sort case of pharyngeal stenosis caused by behçet’s disease treated with transoral videolaryngoscopic surgery
topic Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911262/
https://www.ncbi.nlm.nih.gov/pubmed/36788822
http://dx.doi.org/10.7759/cureus.33616
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