CPAS: Surgical approach with combined sublabial bone resection and inferior turbinate reduction without stents. (4th December 2014)

• Record Type: Journal Article
• Authors: Merea, Valeria S.; Lee, Andrew H. Y.; Peron, Didier L.; Waldman, Erik H.; Grunstein, Eli
• Is Part Of: Laryngoscope. Volume 125:Number 6(2015:Jun.)
• Page Start: 1460
• Page End: 1464
• Publication Date: 2014-12-04
• Subjects: Otolaryngology -- Periodicals; 617.51005
• DOI: 10.1002/lary.25001
• Languages: English
• ISSNs: 0023-852X

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="lary25001-sec-0001" sec-type="section"> <title>Objectives/Hypothesis</title> <p>Congenital pyriform aperture stenosis (CPAS) is a form of nasal obstruction caused by congenital narrowing of the maxilla at the medial processes. Traditionally, surgical correction involves a sublabial approach with subperiosteal dissection, widening of the aperture by drilling, and the use of nasal stents postoperatively. Although this approach may lead to symptomatic improvement, it alone may fail to provide a patent airway secondary to unaddressed posterior narrowing. Additionally, the use of stents is problematic because they are prone to clogging and can cause internal nasal scarring and septal or alar necrosis. We present the surgical management of this condition in six patients using a novel approach that aims to correct these limitations by including both the traditional sublabial procedure and an endonasal reduction of the inferior turbinates, without the use of stents postoperatively.</p> </sec> <sec id="lary25001-sec-0002" sec-type="section"> <title>Study Design</title> <p>Retrospective chart review.</p> </sec> <sec id="lary25001-sec-0003" sec-type="section"> <title>Methods</title> <p>Review of the medical records of six consecutive patients aged 2 weeks to 7 months, who underwent repair of CPAS via a sublabial ostectomy and endonasal inferior turbinate reduction from 2009 to 2012.</p> </sec> <sec id="lary25001-sec-0004" sec-type="section"> <title>Results</title> <p>All six patients were clear of airway obstruction postoperatively and at follow‐up.</p> </sec> <sec id="lary25001-sec-0005" sec-type="section"> <title>Conclusion</title> <p>This is an alternative approach that leads to symptomatic improvement for CPAS patients without the morbidity associated with stent use.</p> </sec> <sec id="lary25001-sec-0006" sec-type="section"> <title>Level of Evidence</title> <p>4. <italic>Laryngoscope</italic>, 125:1460–1464, 2015</p> </sec> </abstract>