Objective: The aim of the study was to evaluate postoperative changes of the nasal tip in patients who underwent internal nasal valve reconstruction with the auricular cartilage butterfly graft. It is believed that this graft may alter the nasal tip appearance, potentially limiting the technique's broad use despite its proven efficacy.
Methods Or Design: A retrospective chart and photograph review, between 2005 and 2009, identified 157 patients who underwent butterfly grafting without other tip modifications at a single institution by 1 surgeon. Changes in supratip projection were measured in the lateral view, and changes in tip width were measured in the frontal view from preoperative to 3-month postoperative photographs.
Results: For 21 subjects (12 female and 9 male), the change in tip width ranged from -10.2% to +15.7% (absolute mean 6.4%), and the change in supratip projection ranged from -23.4% to +15.0% (absolute mean 8.5%). Nine subjects with increased projection showed a mean increase of 7.0%, and a mean decrease of 9.7% was found in the 12 subjects with decreased supratip projection.
Conclusions: The butterfly graft for internal nasal valve dysfunction results in cosmetic alteration to nasal tip width with a mean change of 6.4%. The change in supratip projection showed greater variability possibly related to purposeful cosmetic changes. Depending on the patient's level of nasal dysfunction, the 6.4% mean change in nasal tip width may be more or less personally significant.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/SAP.0b013e3182586b5d | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Endoscopic butterfly cartilage myringoplasty: our long term results.
Acta Otolaryngol
January 2025
Medical Faculty, Department of Otorhinolaryngology, Recep Tayyip Erdogan University, Rize, Turkey.
Background: Myringoplasty is one of the treatments used for perforated tympanic membrane.
Aim/objective: We aimed to evaluate the long-term anatomical and functional outcomes of patients who underwent endoscopic inlay butterfly cartilage myringoplasty.
Material And Methods: We retrospectively analyzed 74 patients who had undergone endoscopic butterfly cartilage myringoplasty were followed for at least five years.
The butterfly effect of the strain richness influences the efficacy of microbiota transplantation.
Cell Host Microbe
January 2025
Department of Microbiota Medicine & Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210011, China; Jiangsu Engineering Research Center for Advanced Microbiota Medicine, Key Lab of Holistic Integrative Enterology, Nanjing Medical University, Nanjing, Jiangsu 210011, China. Electronic address:
Strain-level variation in the gut microbiome modulates its impact on host health. Recently in Nature, Chen-Liaw et al. propose that strain richness is a crucial element in the gut ecosystem, thus influencing efficacy of fecal microbiota transplantation, and provide a theoretical foundation for optimizing microbiota-based treatments and developing microbiota medicine.
View Article and Find Full Text PDFClosed Treatment of the Internal Nasal Valve.
Otolaryngol Clin North Am
January 2025
Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA; Our Lady of the Lake Regional Medical Center, Baton Rouge, LA, USA. Electronic address:
The internal nasal valve, the narrowest portion of the nasal airway, is prone to collapse and is often targeted for improvement in nasal reconstruction and rhinoplasty. Endonasal techniques can reduce surrounding trauma and reduce operative times compared to traditional open methods. Options include the use of spreader, butterfly and alar batten grafts, suspension and flaring sutures, and Z-plasty for scarring.
View Article and Find Full Text PDFButterfly Cartilage Inlay Technique for Repairing Medium-to-Large-Sized Tympanic Membrane Perforations.
Otolaryngol Head Neck Surg
December 2024
Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Objective: The butterfly cartilage inlay technique was originally developed for repairing small tympanic membrane (TM) perforations but is now increasingly used for repairing large TM perforations. Although studies have evaluated the effectiveness of butterfly tympanoplasty for repairing medium-to-large-sized TM perforations, no study has compared its effectiveness with that of the conventional underlay cartilage technique. Therefore, we aimed to evaluate the effectiveness of butterfly tympanoplasty for repairing medium-to-large-sized TM perforations compared with that of the conventional underlay cartilage.
View Article and Find Full Text PDFTechnique of Extending Cartilage Perichondrium Composite Graft into the External Auditory Canal in Type 1 Tympanoplasty and Evaluation of Graft Success.
Indian J Otolaryngol Head Neck Surg
December 2024
Department of Ear Nose and Throat Diseases, Bandırma Onyedi Eylül University Faculty of Medicine Yeni Mahalle, Şehit Astsubay, Mustafa Soner Varlık Street Number:75, Bandırma/Balıkesir, 10200 Turkey.
Article Synopsis
- Cartilage perichondrium composite grafts (CPCG) were utilized in tympanoplasty to address issues such as reperforations, with a goal to improve graft techniques and evaluate their success.
- The study involved 54 ear operations on 48 patients, revealing significant improvements in audiological measurements following the procedure, with a graft success rate of 94.4%.
- Modifications to the grafts aimed to reduce the chance of reperforation and improve auditory outcomes, indicating that CPCG is effective even for high-risk ear perforations.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!