{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:59:38Z","timestamp":1762869578373,"version":"3.43.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Severe complications following tonsillectomy are rare in the pediatric population. However, repeated oropharyngeal surgeries can occasionally result in velopharyngeal stenosis. We report the case of a 7-year-old patient from C\u00f4te d'Ivoire who underwent two tonsillectomies 5\u00a0months apart, along with an adenoidectomy. Subsequently, she developed hypernasal speech, chronic nasal obstruction, dysphagia to solids, and mild respiratory discomfort. Nasal endoscopy revealed a postoperative velopharyngeal stenosis characterized by fibrous narrowing between the soft palate and the posterior pharyngeal wall. A corrective surgical procedure was performed, including dissection of fibrous adhesions and anatomical reconstruction of the soft palate. The postoperative course was favorable, with improved phonation, resolution of respiratory symptoms, and disappearance of dysphagia. This rare case highlights the importance of early endoscopic diagnosis and appropriate surgical management to prevent long-term functional sequelae.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf621","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T11:51:36Z","timestamp":1753271496000},"source":"Crossref","is-referenced-by-count":1,"title":["Severe velopharyngeal stenosis following repeated adenotonsillectomy in a child: a rare diagnostic and surgical challenge"],"prefix":"10.1093","volume":"2025","author":[{"given":"Hind","family":"El Yousfi","sequence":"first","affiliation":[{"name":"Laboratory of Anatomy and Experimental Surgery, Faculty of Medicine and Pharmacy , Mohammed V University, Avenue Mohamed Belarbi Alaoui, Al Irfane, Rabat 10000 ,","place":["Morocco"]},{"name":"Plastic Surgery Unit, Surgical Department C, Children\u2019s Hospital, CHU Ibn Sina , BP 6527, Lemfadel Cherkaoui Street, Souissi District, Rabat ,","place":["Morocco"]},{"name":"Faculty of Medicine and Pharmacy , Mohammed V University, Avenue des Nations Unies, Agdal, Rabat 10000,","place":["Morocco"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nawfal","family":"Fejjal","sequence":"additional","affiliation":[{"name":"Plastic Surgery Unit, Surgical Department C, Children\u2019s Hospital, CHU Ibn Sina , BP 6527, Lemfadel Cherkaoui Street, Souissi District, Rabat ,","place":["Morocco"]},{"name":"Faculty of Medicine and Pharmacy , Mohammed V University, Avenue des Nations Unies, Agdal, Rabat 10000,","place":["Morocco"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"El Ayoubi","sequence":"additional","affiliation":[{"name":"Laboratory of Anatomy and Experimental Surgery, Faculty of Medicine and Pharmacy , Mohammed V University, Avenue Mohamed Belarbi Alaoui, Al Irfane, Rabat 10000 ,","place":["Morocco"]},{"name":"Faculty of Medicine and Pharmacy , Mohammed V University, Avenue des Nations Unies, Agdal, Rabat 10000,","place":["Morocco"]},{"name":"Department of Pediatric Surgery , Children\u2019s Hospital, CHU Ibn Sina, BP 6527, Lemfadel Cherkaoui Street, Souissi District, Rabat 10000,","place":["Morocco"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"2025081313070441800_ref1","first-page":"823","article-title":"Velopharyngeal dysfunction after tonsillectomy in children: case report and review","volume":"118","author":"Lawoyin","year":"2004","journal-title":"J Laryngol Otol"},{"key":"2025081313070441800_ref2","first-page":"55","article-title":"Velopharyngeal stenosis: a rare complication of adenotonsillectomy","volume":"53","author":"Chidzonga","year":"2007","journal-title":"Cent Afr J Med"},{"key":"2025081313070441800_ref3","first-page":"1","article-title":"Evaluation of velopharyngeal dysfunction: clinical and radiological correlation","volume":"87","author":"Smith","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2025081313070441800_ref4","first-page":"611","article-title":"Postoperative complications of tonsillectomy and adenoidectomy in children","volume":"35","author":"Kirse","year":"2002","journal-title":"Otolaryngol Clin North Am"},{"key":"2025081313070441800_ref5","first-page":"985","article-title":"Airway complications after adenotonsillectomy","volume":"112","author":"McClay","year":"2002","journal-title":"Laryngoscope"},{"key":"2025081313070441800_ref6"},{"key":"2025081313070441800_ref7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1597\/06-086.1","article-title":"Guidelines for reporting speech outcomes in cleft palate","volume":"45","author":"Henningsson","year":"2008","journal-title":"Cleft Palate Craniofac 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