抄録
A 43-year-old female, who had been suffered from the recurrent aphthae for about two years, visited our otolaryngology clinic on April 18, 1985, with complaints of the dysphagia and swallowing pain.
One year later, the dyspnea appeared due to the stenosis of the hypopharynx and the swelling of the epiglottis, followed by an ulcerating mucosal lesion.
She was admitted to our hospital on June 5, 1986. The emergency tracheostomy and intravenous administration of the steroid hormone and antibiotics were performed. After these treatments, the swelling of the hypopharynx was improved, but the stenosis was remained. Surgical correction of the stenotic hypopharynx was accomplished under the laryngo-microsurgery using CO2 LASER, and the dyspnea was improved.
Although the recurrent aphthous stomatitis is not so uncommon disease, the secondary stenosis of the pharynx and larynx is very rare.
The cause, pathology and therapy of this type of aphthous lesion were briefly reviewed.