title: Correction of internal nasal valve stenosis: a single surgeon comparison of butterfly versus traditional spreader grafts.
abstract: Nasal obstruction due to internal nasal valve (INV) collapse is relatively common. This article evaluates 2 different methods repairing the INV.Our subject population is a single-surgeon group of 82 patients who underwent a septorhinoplasty for nasal airway obstruction. Patients received either a spreader graft or butterfly graft. There are 30 patients who received spreader grafts and 52 patients who received a butterfly graft. All patients had a minimum of 3 months follow-up. All patients were evaluated with standardized questionnaire. Participants were asked to evaluate improvement in their nasal airway on an analog scale of 1 to 5. Participants were also asked to comment on changes in pre and postoperative snoring and sleep habits. Lastly, participants were queried regarding the ear cartilage harvest and if this bothered them.Patients undergoing both procedures demonstrated an overall improvement in their nasal breathing. Significant differences in improvement were observed for patients in the categories of postoperative snoring, sleep, and continuous positive airway pressure use. Patients were not bothered by the ear cartilage harvest.In select patients, the butterfly graft is a useful solution for INV collapse correction.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, The University of Wisconsin, Madison, WI, USA. dheathstacey@gmail.com
authors.forename: D Heath
authors.initials: DH
authors.lastname: Stacey
authors.forename: Ted A
authors.initials: TA
authors.lastname: Cook
authors.forename: Benjamin C
authors.initials: BC
authors.lastname: Marcus
mesh_terms: D000328:Adult; D004425:Ear Cartilage / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000175:diagnosis / Q000601:surgery*; D009300:Nasal Septum / Q000503:physiopathology* / Q000601:surgery*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D013536:Suture Techniques; D016896:Treatment Outcome; D055815:Young Adult