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The ancient practice of sutra neti leading to velopharyngeal stenosis: case report

  • H Tiwana (a1), R S Virk (a1) and V Gautam (a1)



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.


The patient was diagnosed by nasal endoscopy using a zero-degree Hopkins rod endoscope, and adhesions were released using coblation.


The patient had post-operative alleviation of symptoms and a patent velopharyngeal inlet on examination.


Vigorous sutra neti can lead to velopharyngeal stenosis. Release of the stenosis is then required to cure the nasal blockade.


Corresponding author

Author for correspondence: Professor Ramandeep Singh Virk, Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India E-mail: Fax: +91 981 422 2220


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Professor R S Virk takes responsibility for the integrity of the content of the paper



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The ancient practice of sutra neti leading to velopharyngeal stenosis: case report

  • H Tiwana (a1), R S Virk (a1) and V Gautam (a1)


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