Nasopharyngeal Stenosis Treatment in India

Pari Williams is a 28-year-old elementary...

Pari Williams is a 28-year-old elementary school teacher. She has a history of severe, recurrent sinus infections since childhood, which eventually led to a diagnosis of granulomatosis with polyangiitis (GPA), an autoimmune condition. Over the past two years, Pari noticed her nose was becoming increasingly blocked, to the point where she could only breathe through her mouth. This made teaching exhausting, as she constantly felt out of breath and her voice became nasal and weak. Sleep was nearly impossible due to choking sensations and severe snoring. Her ENT specialist, after multiple examinations and a CT scan, diagnosed her with severe nasopharyngeal stenosis, a narrowing at the very back of her nasal passage, likely a complication of her GPA. The doctor recommended a procedure called endoscopic nasopharyngeal stenosis repair with balloon dilation and possible stenting to reopen the airway. Pari was terrified; the idea of surgery near her brain and the risk of recurrence weighed heavily on her. The procedure itself, done under general anesthesia, took about 90 minutes. The recovery was uncomfortable, with significant nasal congestion, crusting, and a sore throat for about a week. She had to use saline rinses diligently and attend regular follow-ups for stent care. Six weeks post-procedure, Pari took her first deep, clear breath through her nose in years. The relief was profound and emotional. She could sleep through the night, her energy returned, and she felt like herself again in the classroom. While she knows her condition requires ongoing management, the procedure gave her back a fundamental quality of life she thought she had lost forever. Her journey shifted from one of constant anxiety and suffocation to hopeful management and immense gratitude.