Piriform aperture enlargement for nasal obstruction

Roy, Sudeep; Iloreta, Alfred Marc; Bryant, Lucas M.; Krein, Howard; Pribitkin, Edmund A.; Heffelfinger, Ryan

doi:10.1002/lary.25343

Cited by 12 publications

(17 citation statements)

References 9 publications

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“…Roy et al . recently published their retrospective chart review of 26 patients who underwent treatment for nasal obstruction, including enlargement of the piriform aperture using the ultrasonic bone aspirator via a 1.5 cm intranasal incision 40 . All patients had other surgical manoeuvres; therefore, this study represents a feasibility study of piriform aperture enlargement as an adjunctive procedure.…”

Section: Piezosurgery In Rhinologymentioning

confidence: 99%

Piezoelectric technology in otolaryngology, and head and neck surgery: a review

Meller

Havas

2017

J. Laryngol. Otol.

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Piezoelectric technology has been successfully employed, particularly in otology and skull base surgery, where its specific advantages versus traditional drills include a lack of 'blunting' and tissue selectivity. Technical advantages include ease of use, a short learning curve and improved visibility. Its higher cost warrants consideration given that clinically significant improvements in operative time and morbidity have not yet been proven. Further studies may define the evolving role of piezoelectric surgery in otolaryngology, and head and neck surgery.

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Section: Piezosurgery In Rhinologymentioning

confidence: 99%

Piezoelectric technology in otolaryngology, and head and neck surgery: a review

Meller

Havas

2017

J. Laryngol. Otol.

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“…However, pyriplasty might be useful as a secondary procedure after failed functional rhinoplasty. Indeed, 2 authors proposed pyriplasty as a secondary procedure after unsuccessful INV surgery, which means that nasal obstruction might be related to lateral nasal wall collapse or narrow pyriform aperture in those cases 18 , 20 . Pyriplasty could also be an interesting adjunct during functional rhinoplasty in selected cases, and comparative studies would be helpful to demonstrate any additional benefit 20 …”

Section: Discussionmentioning

confidence: 99%

Pyriform Aperture Enlargement for Internal Nasal Valve Obstruction in Adults: Systematic Review and Surgical Classification

Hajem

Botter

Omani

et al. 2021

Otolaryngol.--head neck surg.

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Objective Pyriform aperture enlargement or “pyriplasty” is an uncommonly used procedure for internal nasal valve obstruction in adults besides functional rhinoplasty, inferior turbinate reduction, and septoplasty. A systematic review of the literature was performed to analyze current surgical techniques, their suggested indications, and their related outcome in terms of success and complications. Data Sources The search was performed on PubMed, EMBASE, SCOPUS, and Cochrane databases. Review Methods The systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies on congenital, traumatic, tumoral, or infectious internal nasal valve obstruction were excluded. Results Eight articles were finally included. Three types of pyriplasty have been described according to the level of bone resection: low-level pyriplasty through the sublabial approach, mid-level pyriplasty through endonasal approach, and extended pyriplasty through either approach. Indications included (1) clinically or radiologically narrow pyriform aperture, (2) previously unsuccessful internal nasal valve surgery, (3) lateral nasal wall collapse, and (4) inferior turbinate’s head hypertrophy. Subjective improvement of nasal obstruction was reported in these 4 indications. No major complication was encountered. Conclusion Pyriplasty for nasal obstruction is a simple and safe procedure that could be effective in selected cases. However, level of evidence is currently low, and success rate may vary with indications and pyriplasty techniques. Moreover, there is no clear definition of normal pyriform aperture dimensions to date. Further prospective studies are thereby necessary and should include radiological analysis of pyriform aperture and validated nasal obstruction measurement tools.

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“…First described in 2015 by Roy et al, the Sonopet can be used for piriform aperture enlargement in a functional rhinoplasty. 8 The nasal valve is bounded laterally by the nasal process of the maxilla and head of the inferior turbinate concha. By incising through the mucosa at the height of the head of the inferior turbinate concha and elevating the mucosa and periosteum with a cottle, the head of the concha and lateral process of the maxilla is exposed.…”

Section: Piriform Aperture Enlargementmentioning

confidence: 99%

Sonic Rhinoplasty: Review and Updated Uses

et al. 2020

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The ultrasonic bone aspirator (UBA) allows for precision and provides ease of use in multiple steps of cosmetic and functional rhinoplasties. Its use has previously been described; however, since the publication of many studies the UBA has been improved and its applications for rhinoplasty have been modified and expanded. Both bony and cartilaginous modifications to the nose can be aided with the use of the UBA. From our experience, patient results have subjectively been found to be more acceptable, if not better, than with the use of other rhinoplasty instruments.

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Piriform aperture enlargement for nasal obstruction

Cited by 12 publications

References 9 publications

Piezoelectric technology in otolaryngology, and head and neck surgery: a review

Piezoelectric technology in otolaryngology, and head and neck surgery: a review

Pyriform Aperture Enlargement for Internal Nasal Valve Obstruction in Adults: Systematic Review and Surgical Classification

Sonic Rhinoplasty: Review and Updated Uses

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