Nasal pyriform aperture stenosis in adults

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dc.authoridMiman, Murat Cem/0000-0002-2139-9239
dc.authoridErdem, Gülnur/0000-0003-2200-8620
dc.authoridOZTURAN, ORHAN/0000-0002-6129-8627
dc.authorwosidMiman, Murat Cem/AAZ-4873-2020
dc.authorwosidOZTURAN, ORHAN/E-9610-2012
dc.authorwosidErdem, Gülnur/GPS-7725-2022
dc.authorwosidOZTURAN, ORHAN/B-4984-2015
dc.contributor.authorErdem, T
dc.contributor.authorOzturan, O
dc.contributor.authorErdem, G
dc.contributor.authorAkarcay, M
dc.contributor.authorMiman, MC
dc.date.accessioned2024-08-04T20:13:48Z
dc.date.available2024-08-04T20:13:48Z
dc.date.issued2004
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Congenital nasal pyriform aperture stenosis (CNPAS) leading to respiratory insufficiency in infants has been well documented. Nevertheless, the nasal pyriform aperture stenosis (NPAS) entity in adulthood has not been discussed at all. The normative data of the width of the pyriform aperture, which has not been revealed before, is necessary for evaluation of the adult subjects with nasal bony inlet stenosis. The aim of this study was to define the normative data about the pyriform aperture width measured in 80 adult subjects with paranasal sinus symptoms without nasal obstruction. and, additionally, to report the surgical results of two representative cases with NPAS. Methods: The nasal bony inlet width measurements have been achieved in axial computerized tomographic sections to establish normative data. The maximal distance between the nasal processes of the opposite maxillary bones was measured. Two adult males complaining of nasal obstruction with overt pyriform aperture stenosis were treated surgically via a sublabial approach. Results: The mean widest dimension of the nasal pyriform aperture was 21.6 +/- 2.2 mm (range, 17-27 mm) in 80 adult subjects. This width was 21.9 +/- 2.1 mm (range 18-27 mm) in men and 21 +/- 2.2 mm (range, 17-26 mm) in women. Stenotic pyriform apertures in two patients were widened surgically by drilling via a sublabial approach from 12 and 10 mm to 24 and 21 mm, respectively. Conclusion: NPAS should be included in the list of differential diagnosis for nasal obstruction. Surgical enlargement using a sublabial approach was found an effective and adequate treatment in pyriform aperture stenosis.en_US
dc.identifier.doi10.1177/194589240401800112
dc.identifier.endpage62en_US
dc.identifier.issn1050-6586
dc.identifier.issue1en_US
dc.identifier.pmid15035573en_US
dc.identifier.scopus2-s2.0-1542791546en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage57en_US
dc.identifier.urihttps://doi.org/10.1177/194589240401800112
dc.identifier.urihttps://hdl.handle.net/11616/93854
dc.identifier.volume18en_US
dc.identifier.wosWOS:000220200100010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherOcean Side Publications Incen_US
dc.relation.ispartofAmerican Journal of Rhinologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBony Inlet Stenosisen_US
dc.subjectObstructionen_US
dc.subjectManagementen_US
dc.subjectIncisoren_US
dc.subjectSurgeryen_US
dc.subjectCten_US
dc.titleNasal pyriform aperture stenosis in adultsen_US
dc.typeArticleen_US

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