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Pyriform Aperture Expansion: An Adjunct Technique to Functional Nasal Surgery
Neha Garg1, Jefferson DeKloe1, Ayan Kumar1
1Department of Otolaryngology - Head & Neck Surgery, Thomas Jefferson University Hospitals, Philadelphia, PA, USA.
The Annals of Otology, Rhinology, and Laryngology
|August 23, 2025
Summary
Pyriform aperture expansion (PAE) is a safe and feasible addition to functional nasal surgery for improving airflow. This technique, performed endonasally, successfully expanded the pyriform aperture in most patients, relieving nasal obstruction.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Innovation
Background:
- Functional nasal surgery aims to correct nasal airflow obstruction.
- Pyriform aperture expansion (PAE) is utilized as an adjunct procedure in some cases.
- Describing the technique and assessing safety/feasibility is crucial.
Purpose of the Study:
- To describe the endonasal surgical technique for pyriform aperture expansion (PAE).
- To demonstrate the safety and feasibility of PAE as an adjunct in functional nasal surgery.
Main Methods:
- Retrospective review of 100 patients undergoing functional nasal surgery with PAE (April 2022-May 2023).
- Collected demographic, intraoperative, postoperative complication, and outcome data.
- Detailed description of the endonasal surgical technique, including videography.
Main Results:
- 81% of patients reported improved obstructive nasal symptoms (P < .001).
- Adequate pyriform aperture expansion was achieved in 96% of patients.
- Common concurrent procedures included septoplasty, turbinate reduction, and nasal valve repair.
Conclusions:
- Endonasal PAE, using an ultrasonic bone aspirator, is a safe and feasible adjunct to functional nasal surgery.
- The technique allows for maxillary reduction and effective pyriform aperture expansion.
- PAE can be performed with relative ease and in a timely manner with appropriate surgical skill.
Keywords:
functional nasal surgerynasal obstructionpyriform aperturepyriform aperture expansionseptoplastyMore Related Videos
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