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Pyriform aperture enlargement in all aspects

  • E Esen (a1), N Bayar Muluk (a2), N Altintoprak (a3), K Ipci (a4) and C Cingi (a5)...
Abstract
Abstract Background:

The pyriform aperture comprises the central area of facial bone structure. It is formed by the free corners of the nasal bone and the frontal processes of the maxillae, which articulate with each other at the nasomaxillary suture lines. Congenital nasal pyriform aperture stenosis might be linked to various craniofacial problems. This review presents all aspects of pyriform aperture stenosis and enlargement.

Methods:

A literature search was conducted. Pyriform aperture definition, nasal development, congenital nasal pyriform aperture stenosis and pyriform aperture enlargement were reviewed.

Results:

One of the most common abnormalities is holoprosencephaly, which is a midline developmental deficiency that may also be present in combination with facial clefting. The aetiology of nasal pyriform aperture stenosis remains unclear. When diagnosed, the choice of treatment is between non-surgical and operative methods, depending on the seriousness of the problem. Provided the sufferer can maintain a secure air passage with the help of specialised medical procedures and respiratory tract adjuvants, operative therapy may be delayed.

Conclusion:

The operative outcomes are extremely good, and the prognosis relies mainly on coexisting neural and endocrine problems. This paper evaluates the nasal pyriform aperture in detail.

Copyright
Corresponding author
Address for correspondence: Dr Nuray Bayar Muluk, Birlik Mahallesi, Zirvekent 2. Etap Sitesi, C-3 blok, No: 62/43, 06610 Çankaya, Ankara, Turkey Fax: +90 312 496 4073 E-mail: nbayarmuluk@yahoo.com
References
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1 Craig JR, Bied A, Landas S, Suryadevara A. Anatomy of the upper lateral cartilage along the lateral pyriform aperture. Plast Reconstr Surg 2015;135:406–11
2 Rohrich RJ, Hoxworth RE, Thornton JF, Pessa JE. The pyriform ligament. Plast Reconstr Surg 2008;121:277–81
3 Pyriform Aperture. In: https://pgblazer.com/pyriform-aperture/ [10 April 2016]
4 Anatomy of the Human Body. In: http://www.bartleby.com/107/pages/page196.html [10 April 2016]
5 Ofodile FA. Nasal bones and pyriform apertures in blacks. Ann Plast Surg 1994;32:21–6
6 Karadag D, Ozdol NC, Beriat K, Akinci T. CT evaluation of the bony nasal pyramid dimensions in Anatolian people. Dentomaxillofac Radiol 2011;40:160–4
7 Enlow DH, Hans MG. Prenatal facial growth and development. In: Enlow DH, Hans MG, eds. Essentials of Facial Growth. Philadelphia: Saunders, 1996;220–32
8 Lee JJ, Bent JP, Ward RF. Congenital nasal pyriform aperture stenosis: non-surgical management and long-term analysis. Int J Pediatr Otorhinolaryngol 2001;60:167–71
9 Brown OE, Myer CM 3rd, Manning SC. Congenital nasal pyriform aperture stenosis. Laryngoscope 1989;99:8691
10 Johnson PJ, Rydlund K, Hollins RR. Congenital nasal pyriform aperture stenosis. Plast Reconstr Surg 1999;103:1696–9
11 Erdem T, Ozturan O, Erdem G, Akarcay M, Miman MC. Nasal pyriform aperture stenosis in adults. Am J Rhinol 2004;18:5762
12 Fakhim SA, Bayazian G, Ghanbarpour E, Badebarin D. Congenital nasal pyriform aperture stenosis: the report of four rare cases. Egyptian Journal of Ear, Nose, Throat and Allied Sciences 2013;14:213–16
13 Visvanathan V, Wynne DM. Congenital nasal pyriform aperture stenosis: a report of 10 cases and literature review. Int J Pediatr Otorhinolaryngol 2012;76:2830
14 Arlis H, Ward RF. Congenital nasal pyriform aperture stenosis. Isolated abnormality vs. developmental field defect. Arch Otolaryngol Head Neck Surg 1992;118:989–91
15 Shikowitz MJ. Congenital nasal pyriform aperture stenosis: diagnosis and treatment. Int J Pediatr Otorhinolaryngol 2003;67:635–9
16 Pereira KD, Wang BS. Congenital nasal pyriform aperture stenosis. Oper Tech Otolaryngol Head Neck Surg 2005;16:194–7
17 Thomas EM, Gibikote S, Panwar JS, Mathew J. Congenital nasal pyriform aperture stenosis: a rare cause of nasal airway obstruction in a neonate. Indian J Radiol Imaging 2010;20:266–8
18 Vercruysse JP, Wojciechowski M, Koninckx M, Kurotova A, Claes J. Congenital nasal pyriform aperture stenosis: a rare cause of neonatal nasal obstruction. J Pediatr Surg 2006;41:e57
19 Sanal B, Demirhan N, Koplay M, Sadikoğlu MY, Gürpinar A. Congenital nasal pyriform aperture stenosis: clinical and radiologic findings and treatment. Jpn J Radiol 2009;27:389–91
20 Devambez M, Delattre A, Fayoux P. Congenital nasal pyriform aperture stenosis: diagnosis and management. Cleft Palate Craniofac J 2009;46:262–7
21 Douglas B. The relief of vestibular nasal obstruction by partial resection of the nasal process of the superior maxilla. Plast Reconstr Surg 1952;9:4251
22 Moreddu E, Le Treut-Gay C, Triglia JM, Nicollas R. Congenital nasal pyriform aperture stenosis: elaboration of a management algorithm from 25 years of experience. Int J Pediatr Otorhinolaryngol 2016;83:711
23 Belden CJ, Mancuso AA, Schmalfuss IM. CT features of congenital nasal piriform aperture stenosis: initial experience. Radiology 1999;213:495501
24 Gonik NJ, Cheng J, Lesser M, Shikowitz MJ, Smith LP. Patient selection in congenital pyriform aperture stenosis repair – 14 year experience and systematic review of literature. Int J Pediatr Otorhinolaryngol 2015;79:235–9
25 Van Den Abbeele T, Triglia JM, Francois M, Narcy P. Congenital nasal pyriform aperture stenosis: diagnosis and management of 20 cases. Ann Otol Rhinol Laryngol 2001;110:70–5
26 Blackmore K, Wynne DM. A case of solitary median maxillary central incisor (SMMCI) syndrome with bilateral pyriform aperture stenosis and choanal atresia. Int J Pediatr Otorhinolaryngol 2010;74:967–9
27 Gungor AA, Reiersen DA. Balloon dilatation for congenital nasal piriform aperture stenosis (CNPAS): a novel conservative technique. Am J Otolaryngol 2014;35:439–42
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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