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Pyriform aperture enlargement in all aspects

Published online by Cambridge University Press:  27 February 2017

E Esen ,
N Bayar Muluk ,
N Altintoprak ,
K Ipci  and
C Cingi
E Esen
Affiliation:
ENT Clinics, Kocaeli Derince Training and Research Hospital, Kocaeli, Turkey
N Bayar Muluk*
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Kirikkale University, Kirikkale, Turkey
N Altintoprak
Affiliation:
ENT Clinics, Tuzla State Hospital, Istanbul, Turkey
K Ipci
Affiliation:
ENT Department, Ankara Koru Hospital, Ankara, Turkey
C Cingi
Affiliation:
Department of Otorhinolaryngology, Medical Faculty, Eskisehir Osmangazi University, Eskisehir, Turkey
*
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
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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.

Keywords

Congenital AbnormalitiesFacial BonesMaxillaNoseStenosis
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 6 , June 2017 , pp. 476 - 479
Copyright
Copyright © JLO (1984) Limited 2017 

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