Pyriform Aperture Expansion: An Adjunct Technique to Functional Nasal Surgery.

Publication/Presentation Date

2-1-2026

Abstract

OBJECTIVES: Functional nasal surgery is commonly performed to correct obstructed nasal airflow, and our institution implements pyriform aperture expansion (PAE) as an adjunct to surgical correction. The aim of this study was primarily to describe the surgical technique of PAE and demonstrate its safety and feasibility in functional nasal surgery.

METHODS: A retrospective review of patients who underwent functional nasal surgery including PAE from April 2022 to May 2023 was conducted. Demographic, intraoperative, postoperative complication, and outcome data were collected. The endonasal surgical technique is described and videography is provided.

RESULTS: One hundred patients were included. In addition to PAE, patients underwent concurrent septoplasty (92%), septal cartilage harvest (61%), turbinate reduction (94%), nasal valve repair (87%), open reduction and internal fixation of nasal bones (44%), or endoscopic sinus surgery (5%). Complications included epistaxis (7%), septal hematoma (3%), nasal cellulitis (2%), nasal tip numbness (1%), adhesions (1%), and persistent or recurrent pyriform aperture narrowing (4%). Eighty-one percent of patients reported improvement in obstructive nasal symptoms (

CONCLUSION: This study describes an endonasal approach to PAE, which utilizes an ultrasonic bone aspirator for maxillary reduction. It demonstrates that PAE is a safe and feasible adjunct to functional nasal surgery. With adequate surgical technique, PAE can be performed with relative ease in a timely fashion.

Volume

135

Issue

2

First Page

95

Last Page

100

ISSN

1943-572X

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

40847930

Department(s)

Administration and Leadership

Document Type

Article

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