Sublabial Approach for Repair of Congenital Nasal Pyriform Aperture Stenosis: How I Do It

Luitje, Martha; Vandjelovic, Nathan D.; Benoit, Margo McKenna; Faria, John

doi:10.1002/lary.29472

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Surgical treatment is typically performed using a drill to widen the pyriform aperture along the nasal process of the maxilla via a sublabial approach, often with subsequent nasal stenting. 14 Alternative techniques include balloon dilation, which relies partially on the plasticity of an infant’s maxillofacial skeleton. 15 Other reported dilation methods have included Hegar cervical dilators and acrylic oral devices.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Surgical Techniques for the Treatment of Congenital Nasal Pyriform Aperture Stenosis: A Systematic Review

Rosi-Schumacher,

DiNardo,

Reese

et al. 2024

Ann Otol Rhinol Laryngol

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Introduction: Congenital nasal pyriform aperture stenosis (CNPAS) is a rare condition that results in neonatal respiratory difficulty. The purpose of this systematic review was to compare surgical outcomes of drilling versus dilation techniques in the treatment of CNPAS. Methods: Pubmed, Embase, and Cochrane Clinical Trials databases were searched for terms “congenital nasal pyriform aperture stenosis” or “pyriform aperture stenosis” from 2010 to 2021. Twenty-five studies were included that evaluated pediatric patients treated surgically for CNPAS with available outcomes data including complications, revisions, and length of stay. Results: A total of 51 patients with CNPAS were pooled from included studies. The median age was 29 days, 56.9% were female, and 54.9% were born full-term. The median pyriform aperture width before surgery was 5.00 mm (IQR = 4.10, 6.45). Forty (78.4%) patients underwent sublabial drilling, while 6 had a dilation procedure performed with hegar cervical dilators, 2 had a balloon dilation, and 3 were dilated with either an acrylic device, endotracheal tube, or bougie. There were no post-operative complications for 76.5% of patients, while a second surgery was required in 9 (17.6%) patients. The median length of stay was 11 days (IQR = 4, 26). No statistically significant difference was observed between sublabial drilling and surgical dilation techniques with respect to complications, need for revision surgery, or length of stay. Conclusion: Current literature is insufficient to determine if drilling or dilation is more effective in the treatment of CNPAS.

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Section: Introductionmentioning

confidence: 99%