Introduction. Postsurgical nasopharyngeal airway stenosis can be a challenge to manage. The stenosis could be as a result of any\nsurgical procedure in the nasopharyngeal region that heals extensive scarring and fibrosis. Objective. To evaluate patients with\nnasopharyngeal stenosis managed with FAMM flap. Study Design. Prospective study of patients with nasopharyngeal stenosis at\nthe Kenyatta National Hospital between 2010 and 2013 managed with FAMM flap. Materials and Methods. Patients with severe\nnasopharyngeal airway stenosis were reviewed and managed with FAMM flaps at the Kenyatta National Hospital. Postoperatively\nthey were assessed for symptomatic improvement in respiratory distress, patency of the nasopharyngeal airway, and donor site\nmorbidity. Results. A total of 8 patients were managed by the authors in a duration of 4 years with nasopharyngeal stenosis. Five\npatients were managed with unilateral FAMM flaps in a two-staged surgical procedure. Four patients had complete relieve of the\nairway obstruction with a patent airway created. One patient had a patent airway created though with only mild improvement\nin airway obstruction. Conclusion. FAMM flap provides an alternative in the management of postsurgical severe nasopharyngeal\nstenosis. It is a reliable flap that is easy to raise and could provide adequate epithelium for the stenosed pharynx
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