Oropharyngeal adhesions are caused by scar tissue connections between the soft palate, pharyngeal arches, and the base of the tongue. The most common adhesion occurs between the base of the tongue and the pharyngeal arch, with disease causes similar to nasopharyngeal adhesions. They often occur after tonsillectomy.

bubble_chart Clinical Manifestations

The severity of symptoms varies with the degree of adhesion. Sometimes there is a sensation of tightness in the throat, especially noticeable when swallowing. In severe cases, individuals may experience difficulty speaking or swallowing. Scarring can be observed in the oropharynx, causing tension in the palatine arches and soft palate. For those with post-tonsillectomy adhesions, scars may form in the tonsillar fossa, tongue, and palatopharyngeal arch, adhering to the lateral part of the tongue base.

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The diagnosis is usually not difficult, typically with a history of surgical injury.

bubble_chart Treatment Measures

For mild adhesions, repeatedly extending the tongue or pressing the tongue with a finger can help relax the scar tissue. In severe cases, adhesion release surgery or plastic surgery may be performed.