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The Effect on Snoring of Structural Nasal Valve Dilatation With a Butterfly Graft
Timur Akcam, MD;
Oren Friedman, MD;
Ted A. Cook, MD
Arch Otolaryngol Head Neck Surg. 2004;130:1313-1318.
Objective To evaluate the effect on snoring of structural nasal valve dilatation with butterfly spreader grafts in patients with nasal valve insufficiency.
Design Retrospective medical chart review and telephone follow-up; mean ± SD follow-up time, 20.7 ± 11.34 months (range, 3-48 months).
Settings Tertiary care referral center.
Subjects A total of 37 snoring patients with nasal valve insufficiency who underwent nasal valve dilatation with a butterfly spreader graft.
Interventions The conchal cartilage butterfly graft technique was performed during rhinoplasty through either an external or endonasal approach.
Main Outcome Measure To establish through a retrospective review that butterfly graft conchal cartilage nasal reconstruction is effective in reducing snoring.
Results After surgery, 30 patients (81%) had significant improvement in breathing, 5 (14%) had slight improvement, and 2 (5%) had no benefit in breathing. Snoring stopped completely in 11 (30%) of the patients after surgery. The improvement in snoring was significant in 13 patients (35%) and slight in 3 (8%). Twenty-six patients (70%) reported tiredness and grogginess on awakening before the surgery. Surgery significantly improved patients’ tiredness and grogginess on awakening in 15 cases (58%), slightly improved them in 5 (19%), and did not change the patients’ tiredness and grogginess in 6 cases (23%).
Conclusion The conchal cartilage butterfly graft yields successful results not only in breathing but also in snoring symptoms in patients with nasal valve insufficiency.
Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, Division of Facial Plastic Surgery, Oregon Health and Science University, Portland (Drs Akcam, Friedman, and Cook); Department of Otolaryngology–Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey (Dr Akcam); and Department of Otolaryngology, Mayo Clinic and Mayo Medical School, Rochester, Minn (Dr Friedman).
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