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Expansión de la abertura piriforme: una técnica complementaria a la cirugía nasal funcional
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
Resumen
La expansión de la abertura piriforme (PAE) es una adición segura y factible a la cirugía nasal funcional para mejorar el flujo de aire. Esta técnica, realizada endonasalmente, expandió con éxito la abertura piriforme en la mayoría de los pacientes, aliviando la obstrucción nasal.
Área de la Ciencia:
- Otorrinolaringología
- Rinocología
- Innovación quirúrgica
Sus antecedentes:
- La cirugía nasal funcional tiene como objetivo corregir la obstrucción del flujo de aire nasal.
- La expansión de la abertura piriforme (PAE) se utiliza como un procedimiento complementario en algunos casos.
- La descripción de la técnica y la evaluación de la seguridad/viabilidad son fundamentales.
Objetivo del estudio:
- Describir la técnica quirúrgica endonasal para la expansión de la abertura piriforme (PAE).
- Demostrar la seguridad y viabilidad de la EAP como complemento en la cirugía nasal funcional.
Principales métodos:
- Revisión retrospectiva de 100 pacientes sometidos a cirugía nasal funcional con EAP (abril de 2022-mayo de 2023).
- Se recogieron datos demográficos, intraoperatorios, de complicaciones postoperatorias y de resultados.
- Descripción detallada de la técnica quirúrgica endonasal, incluida la videografía.
Principales resultados:
- El 81% de los pacientes informó una mejora de los síntomas nasales obstructivos (P < 0,001).
- Se logró una adecuada expansión de la abertura piriforme en el 96% de los pacientes.
- Los procedimientos concurrentes comunes incluyen septoplastia, reducción de turbinados y reparación de la válvula nasal.
Conclusiones:
- La EAP endonasal, utilizando un aspirador óseo ultrasónico, es un complemento seguro y factible para la cirugía nasal funcional.
- La técnica permite la reducción maxilar y la expansión efectiva de la abertura piriforme.
- La EAP se puede realizar con relativa facilidad y de manera oportuna con la habilidad quirúrgica adecuada.
Palabras clave:
cirugía funcional nasalObstrucción nasalApertura piriformeExpansión de la abertura piriformeseptoplastiaMás Videos Relacionados
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