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

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Title: Pyriform Aperture Expansion: An Adjunct Technique to Functional Nasal Surgery.
Authors: Garg, Neha (AUTHOR), DeKloe, Jefferson (AUTHOR), Kumar, Ayan (AUTHOR), Xu, Vivian (AUTHOR), Amin, Dev (AUTHOR), Sina, Elliott M. (AUTHOR), McCann, Adam (AUTHOR), Namocatcat, Anne Therese J. (AUTHOR), Krein, Howard (AUTHOR), Heffelfinger, Ryan (AUTHOR)
Source: Annals of Otology, Rhinology & Laryngology. Feb2026, Vol. 135 Issue 2, p95-100. 6p.
Subjects: Nasal surgery, Patient selection, Nasal cavity, Cellulitis, Patient safety, Data analysis, Tissue adhesions, Logistic regression analysis, Respiratory obstructions, Treatment effectiveness, Retrospective studies, Organ donation, Hematoma, Descriptive statistics, Chi-squared test, Surgical complications, Numbness, Medical records, Acquisition of data, Statistics, Cartilage, Nasal septum, Data analysis software, Hypopharynx, Turbinate bones, Nosebleed, Disease risk factors
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 (P <.001). Postoperative examination demonstrated adequate pyriform aperture expansion in 96% of patients. 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. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: 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 (P &lt;.001). Postoperative examination demonstrated adequate pyriform aperture expansion in 96% of patients. 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. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Annals of Otology, Rhinology &amp; Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1177/00034894251364700
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 95
    Subjects:
      – SubjectFull: Nasal surgery
        Type: general
      – SubjectFull: Patient selection
        Type: general
      – SubjectFull: Nasal cavity
        Type: general
      – SubjectFull: Cellulitis
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      – SubjectFull: Patient safety
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      – SubjectFull: Data analysis
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      – SubjectFull: Tissue adhesions
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Respiratory obstructions
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Retrospective studies
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      – SubjectFull: Organ donation
        Type: general
      – SubjectFull: Hematoma
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Surgical complications
        Type: general
      – SubjectFull: Numbness
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      – SubjectFull: Medical records
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      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Cartilage
        Type: general
      – SubjectFull: Nasal septum
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Hypopharynx
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      – SubjectFull: Turbinate bones
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      – SubjectFull: Nosebleed
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      – SubjectFull: Disease risk factors
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      – TitleFull: Pyriform Aperture Expansion: An Adjunct Technique to Functional Nasal Surgery.
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              Text: Feb2026
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