Abstract

Abstract The aim of this study was to compare Goode’s and Byrd’s method in objectively assessing nasal tip projection. This study included 20 patients from the ENT outpatient clinic, Cairo university hospital, who underwent augmentation tip rhinoplasty, closed technique, using Sheen graft, during the period from January 2008 until December 2011. Two objective methods, Goode’s method and Byrd’s method, were used to assess nasal tip projection preoperatively and postoperatively. There was statistically significant difference between the gain in projection by Goode’s method compared with Byrd’s method. The mean gain in projection was 11.6 using Goode’s method, whereas it was only 9.55 when measured by Byrd’s method. Goode’s method correlated more with patients’ and surgeon’s subjective assessment and satisfaction. In our study, Goode’s method proved to be more accurate in representing the final outcome compared with Byrd’s method in the Egyptian population.

Highlights

  • The aim of this study was to compare Goode’s and Byrd’s method in objectively assessing nasal tip projection

  • In 1975, Sheen introduced a new concept in tip surgery in the form of adding a vertical tip graft to obtain more definition and projection [2]

  • Modifications were introduced to the principle, including the use of several layers of grafts and changing the shape or orientation of the tip graft [3]

Read more

Summary

Introduction

The aim of this study was to compare Goode’s and Byrd’s method in objectively assessing nasal tip projection. Materials and methods This study included 20 patients from the ENT outpatient clinic, Cairo university hospital, who underwent augmentation tip rhinoplasty, closed technique, using Sheen graft, during the period from January 2008 until December 2011. Goode’s method and Byrd’s method, were used to assess nasal tip projection preoperatively and postoperatively. The three main characteristics of the nasal tip are shape, rotation and projection. Maintaining or changing these nasal tip characteristics remains a challenge; even for the most experienced facial plastic surgeon, projection is notably the most difficult to control [1]. We assessed and compared the reliability of both methods in objectively measuring NTP in the Egyptian population. Modifications were introduced to the principle, including the use of several layers of grafts and changing the shape or orientation of the tip graft [3]

Objectives
Methods
Results
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call