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Does the Butterfly Graft Really Work?

  • FACIAL PLASTICS: Functional Rhinoplasty( TD Wang and CZ Johnson, Section Editors)
  • Published:
Current Otorhinolaryngology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The goal is to review the current evidence related to the butterfly graft (BG), specifically to address functional and aesthetic comparisons to other frequently used surgical techniques to repair nasal valve compromise.

Recent Findings

Several clinical reports and cadaveric studies using computational fluid dynamics (CFD) have compared the BG to other techniques, demonstrating superior functional outcomes and CFD flow characteristics for the BG, respectively. Recent evidence exists comparing the aesthetic outcomes for the BG to other techniques, demonstrating non-inferiority.

Summary

Successful rhinoplasty maximizes both form and function. Although the functional success of the BG is undisputed, questions remain about the aesthetic outcomes. Future research to investigate these questions, including a multi-institutional prospective comparative study of the BG versus other techniques including spreader grafts, lateral crural strut grafts, and alar rim grafts, will be discussed.

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Papers of particular interest, published recently, have been highlighted as:

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      Authors and Affiliations

      1. Department of Surgery, Physicians’ Office Building, University of North Carolina at Chapel Hill, 170 Manning Drive, Chapel Hill, NC, CB #707027599-7070, USA

        J. Madison Clark

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      1. J. Madison Clark
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      Correspondence to J. Madison Clark.

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      J. Madison Clark, MD, FACS declares that he has no conflict of interest.

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      This article does not contain any studies with human or animal subjects performed by any of the authors.

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      Clark, J.M. Does the Butterfly Graft Really Work?. Curr Otorhinolaryngol Rep 10, 148–154 (2022). https://doi.org/10.1007/s40136-022-00396-4

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      • DOI: https://doi.org/10.1007/s40136-022-00396-4

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