Howard Brittany E, Madison Clark J
Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Arizona.
Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, University of North Carolina, Chapel Hill, North Carolina, U.S.A.
Laryngoscope. 2019 Apr;129(S1):S1-S10. doi: 10.1002/lary.27776. Epub 2019 Jan 10.
OBJECTIVES/HYPOTHESIS: To describe the evolution of the butterfly graft technique for the treatment of nasal valve compromise, with specific attention to technical developments allowing for expanded indications. To review the impact on patient-reported outcomes of nasal airway function and nasal aesthetics.
Retrospective chart review.
A review of a single surgeon's patients at a private practice and tertiary care center undergoing surgical correction for nasal valve compromise using the butterfly graft technique between July 2002 and April 2017. Data collected included etiology of nasal valve compromise, additional procedures performed, complications, and functional and aesthetic patient-reported outcomes.
Over the study period, 512 patients underwent surgery to correct nasal valve compromise utilizing the butterfly graft technique. The overall patient-reported relief of nasal obstructive symptoms was complete in 87%, improved but not completely relieved in 10%, and not improved in 4%. No patients reported a worsening in their nasal obstructive symptoms. The overall patient-reported change in nasal appearance was improved 53%, the same 32%, worse in 15%. The patients in the latter half of the study tended to report better aesthetic results.
The results of this study suggest that the surgical technique for the butterfly graft evolved over time and allowed for improved aesthetic outcomes, without reduction in the efficacy in correction of nasal valve compromise. The evolution in technique allowed for expansion of the indications for the butterfly graft while maintaining the favorable patient-reported aesthetic and functional results.
4 Laryngoscope, 129:S1-S10, 2019.
目的/假设：描述蝶形移植技术治疗鼻瓣膜功能不全的演变过程，特别关注允许扩大适应证的技术发展。回顾对患者报告的鼻气道功能和鼻美学结果的影响。
回顾性病历审查。
回顾2002年7月至2017年4月在一家私人诊所和三级护理中心由单一外科医生使用蝶形移植技术对鼻瓣膜功能不全进行手术矫正的患者。收集的数据包括鼻瓣膜功能不全的病因、额外进行的手术、并发症以及患者报告的功能和美学结果。
在研究期间，512例患者接受了使用蝶形移植技术矫正鼻瓣膜功能不全的手术。总体而言，87%的患者报告鼻阻塞症状完全缓解，10%的患者有所改善但未完全缓解，4%的患者无改善。没有患者报告鼻阻塞症状恶化。总体而言，53%的患者报告鼻外观有所改善，32%的患者认为相同，15%的患者认为变差。研究后半期的患者往往报告美学效果更好。
本研究结果表明，蝶形移植的手术技术随时间演变，可改善美学效果，同时不降低矫正鼻瓣膜功能不全的疗效。技术的演变允许扩大蝶形移植的适应证，同时保持患者报告的良好美学和功能结果。
4《喉镜》，129:S1 - S10，2019年。
