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Resection of pyriform aperture: a useful adjunct in nasal surgery

Published online by Cambridge University Press:  15 October 2008

W Smith ,
D Lowe  and
P Leong
W Smith*
Affiliation:
Department of ENT, Edith Cavell Hospital, Peterborough, UK
D Lowe
Affiliation:
Department of ENT, Edith Cavell Hospital, Peterborough, UK
P Leong
Affiliation:
Department of ENT, Edith Cavell Hospital, Peterborough, UK
*
Address for correspondence: Miss W Smith, c/o ENT Department, Edith Cavell Hospital, Peterborough and Stamford NHS Trust, Bretton Gate, Peterborough PE3 9GZ, UK. E-mail: [email protected]
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Abstract

Objective:

The aim of this paper is to describe a novel technique of improving the nasal airflow in patients in whom, despite reduction surgery to the inferior turbinates (either alone or with septal surgery), the nasal airways remain compromised because of obstruction occurring anterior to the inferior turbinate, due to a prominent nasal process of the maxilla at the pyriform aperture.

Method:

We describe a novel approach to resection of the nasal process of the maxilla, a technique performed in 40 patients with either: residual obstructive symptoms following septal surgery with or without turbinate surgery; and significant inspiratory alar collapse. The same technique was also used in two patients to improve the intranasal approach to the medial and anterior maxilla during endoscopic medial maxillectomy for recurrent inverted papilloma.

Results:

Patients reported a subjective improvement in their nasal airways, with resolution of inspiratory alar collapse. This technique significantly improved intranasal access in the two patients with inverted papilloma.

Conclusion:

This technique confers significant subjective improvement of nasal airways patency in selected patients, and improves endoscopic surgical access to clear inverted papilloma.

Keywords

Nasal ObstructionMaxillaOtorhinolaryngologic Surgical ProceduresInverted Papilloma
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 1 , January 2009 , pp. 123 - 125
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Woodhead, CJ. Piriform aperture surgery for alar collapse. Clin Otolaryngol 1995;20:74–9CrossRefGoogle ScholarPubMed
2 Wormald, PJ, Ooi, E, van Hasselt, CA, Nair, S. Endoscopic removal of sinonasal inverted papilloma including endoscopic medial maxillectomy. Laryngoscope 2003;113:867–73CrossRefGoogle ScholarPubMed
3 Han, JK, Smith, TL, Loehri, T, Toohill, RJ, Smith, MM. An evolution in the management of sinonasal inverting papilloma. Laryngoscope 2001;118:1395–400CrossRefGoogle Scholar
4 Waitz, G, Wigand, ME. Results of endoscopic sinus surgery for the treatment of inverted papillomas. Laryngoscope 1992;102:917–22CrossRefGoogle ScholarPubMed
5 Lawson, W. Surgery in the management of inverted papilloma. Laryngoscope 1983;93:148–55CrossRefGoogle ScholarPubMed
6 Busquets, JM, Hwang, PH. Endoscopic resection of sinonasal inverted papilloma: a meta-analysis. Otolaryngol Head Neck Surg 2006;134:476–82CrossRefGoogle ScholarPubMed