PRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 97 No. 5 May 2004
A Case of Severe Laryngeal Stenosis due to Cicatricial
Pemphigoid Treated by Laryngoplasty
Nobuo Saeki, Tomonori Terada and Masafumi Sakagami
(Hyogo College of Medicine)
Takashi Fujii and Kunitoshi Yoshino
(Osaka Medical Center for Cancer and Cardiovascular Diseases)
Five years after a tracheostomy, a female patient visited our clinic with a complaint of progressive hoarseness. Clinical examination revealed severe stenosis caused by cicatricial pemphigoid in the false vocal cords of the arytenoids area. We planned staged surgery. We performed a laryngoplasty and scar resection, and then made a laryngocutaneous fistula. In the second stage of surgery eight months later, we closed the laryngocutaneous fistula. One year after the first surgery, we successfully closed the tracheostomy.
Key words : cicatricial pemphigoid, laryngeal stenosis, laryngoplasty, tracheostomy