Acquired nasopharyngeal stenosis (NPS) is a rare and heterogeneous pathology with diverse causes, often a consequence of pharyngeal surgery. Disparate approaches have
been used for the treatment of nasopharyngeal stenosis but there is no consensus on a unique and standardized management, however many methods have been described.
We present a case of a 2-year-old with grade II nasopharyngeal stenosis reconstructed with an inferiorly based left unilateral facial artery myomucosal flap. The Facial artery myomucosal (FAMM) Flap is a versatile yet reliable flap for reconstruction of postsurgical nasopharyngeal stenosis, a common complication of pediatric adenotonsillectomy and other pharyngeal surgeries.
In conclusion, inferiorly based facial myomucosal (FAMM) flap is an easy, yet sufficient local option in the reconstruction of nasopharyngeal stenosis post scar release.

Key words: FAMM flap, Facial artery myomucosal flap, Nasopharyngeal stenosis, upper airway obstruction, versatile, Case Report.