The first case is that of a 22 year old male whose palatopharngeal synechia was presumably due to combined effects of congenital syphilis, operation for chronic parasinusitis and irradiation for right cervical lymphoadenopathy. The another case was that of a 25-years-old female with chronic nephritis and acrocyanosis. This was apparently secondary to tuberculous pharyngitis.
The patients were treated satisfactorily by punching the palatine bone in the first case and. by palatopharyngoplasty in the second.
Twenty five cases of palatopharyngeal synechia were reported in the Japanese literatures-12 cases of syphilitic, 6 tuberculous, 2 severe pharyngeal inflammation, 2 congenital malformation and each one of scarlet fever, purpura and pharyngeal stenosis of unknown nature. Nine of them including our cases were those of complete obstruction.
