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The ancient practice of sutra neti leading to velopharyngeal stenosis: case report
H Tiwana1, R S Virk1, V Gautam1
1Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Background:
An ancient yoga technique called sutra neti, which is extensively used in India to keep the sinuses healthy, led to complete velopharyngeal stenosis in a 67-year-old male patient who presented with bilateral nasal obstruction, mouth breathing, anosmia and a change in voice.
Method:
The patient was diagnosed by nasal endoscopy using a zero-degree Hopkins rod endoscope, and adhesions were released using coblation.
Results:
The patient had post-operative alleviation of symptoms and a patent velopharyngeal inlet on examination.
Conclusion:
Vigorous sutra neti can lead to velopharyngeal stenosis. Release of the stenosis is then required to cure the nasal blockade.
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