2014
DOI: 10.1097/sap.0b013e3182586b5d
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Abstract: 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.

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Cited by 18 publications
(20 citation statements)
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“…Although aesthetic concerns regarding adding fullness in the middle third of the nose are valid, prior to the modifications described herein, Chaiet and Marcus showed that in a study of 21 patients, the change in supra‐tip width ranged from −10.2% to 15.7%, with an absolute mean of 6.4%. Thorough preoperative nasal analysis and discussion of expectations (especially regarding changes in the appearance of the middle vault) are critical to satisfactory patient outcomes.…”
Section: Discussionmentioning
confidence: 91%
“…Although aesthetic concerns regarding adding fullness in the middle third of the nose are valid, prior to the modifications described herein, Chaiet and Marcus showed that in a study of 21 patients, the change in supra‐tip width ranged from −10.2% to 15.7%, with an absolute mean of 6.4%. Thorough preoperative nasal analysis and discussion of expectations (especially regarding changes in the appearance of the middle vault) are critical to satisfactory patient outcomes.…”
Section: Discussionmentioning
confidence: 91%
“…Nasal valve collapse has been recognized for more than 40 years; however, it has only become a common area of focus in nasal surgery over the past 20 years. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] Both form and function are now recognized to be important considerations in nasal surgery, and it is no longer considered optimal to create an aesthetically pleasing nose while disregarding nasal function. Excellent cosmetic results should not compromise nasal breathing, and we have come to appreciate the importance and feasibility of addressing both function and cosmetics in our efforts to provide the best surgical outcomes.…”
Section: History Of Nasal Valve Collapse and Butterfly Graftmentioning
confidence: 99%
“…5 There is significant literature to support the effectiveness and cosmetic acceptability of the butterfly graft in correcting static and dynamic internal nasal valve obstruction in primary and secondary rhinoplasty. 3,7,16,18 It has compared favorably with spreader grafts, 10 and when analyzed for its effects on the cosmetics of the nasal tip and supratip, it has also proven to be acceptable. 6,7 While there are many techniques that exist for widening and strengthening the internal nasal valve, we have found the butterfly graft to be one of the most powerful techniques, and as a standalone procedure, we have found it to be the single most powerful technique for nasal valve repair.…”
Section: History Of Nasal Valve Collapse and Butterfly Graftmentioning
confidence: 99%
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“…They acknowledged that patients with thin skin may not adequately hide the graft, and that proper counseling is needed if this technique is utilized. [54] …”
Section: Butterfly Graftmentioning
confidence: 99%