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Assessment of nasal tip projection




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. 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.


  1. 1

    Vuyk HD, Oakenfull C, Plaat RE. A quantative appraisal of change in nasal tip projection after open rhinoplasty. Rhinology 1997; 35: 124–129.

    CAS  PubMed  Google Scholar 

  2. 2

    Sheen JH. Achieving more nasal tip projection by the use of a small autogenous vomer or septal cartilage graft. Plast Reconstr Surg 1975; 56: 35–40.

    CAS  Article  Google Scholar 

  3. 3

    Sheen JH. Tip graft: a 20-year retrospective. Plast Reconstr Surg 1993; 91: 48–63.

    CAS  Article  Google Scholar 

  4. 4

    Azizzadeh B, Mashkeyich G. Middle Eastern rhinoplasty. Facial Plast Surg Clin North Am 2010; 18: 201–206.

    Article  Google Scholar 

  5. 5

    Goode RL. A method of tip projection measurement. In: Powell HB, editor. Proportions of the esthetic face. New York, NE: Thieme-Stratton Inc.; 1984. 15–39.

    Google Scholar 

  6. 6

    Byrd HS, Hobar PC. Rhinoplasty: a practical guide for surgical planning. Plast Reconstr Surg 1993; 91: 642–654.

    CAS  Article  Google Scholar 

  7. 7

    Rohrich RJ, Ghavami A. Rhinoplasty for Middle Eastern noses. Plast Reconstr Surg 2009; 123: 1343–1354.

    CAS  Article  Google Scholar 

  8. 8

    Guyuron B, Jackowe D. Modified tip grafts and tip punch devices. Plast Reconstr Surg 2007; 120: 2004–2010.

    CAS  Article  Google Scholar 

  9. 9

    Sheen JH. Rhinoplasty: personal evolution and milestones. Plast Reconstr Surg 2000; 105: 1820–1852.

    CAS  Article  Google Scholar 

  10. 10

    Daniel RK. Middle Eastern rhinoplasty: anatomy, aesthetics, and surgical planning. Facial Plast Surg 26:2010; 110–118.

    CAS  Article  Google Scholar 

  11. 11

    Devcic Z, Rayikanti BA, Hevia JP, Popenko NA, Karimi K, Wong BJ. Nasal tip projection and facial attractiveness. Laryngoscope 2011; 121: 1388–1394.

    Article  Google Scholar 

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Author information



Corresponding author

Correspondence to Fadi M. Gharib MD.

Additional information

Conflicts of interest

None declared.

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ElBestar, M.F., AlMahdy, A.Y. & Gharib, F.M. Assessment of nasal tip projection. Egypt J Otolaryngol 31, 105–110 (2015).

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  • Byrd
  • Goode
  • nasal tip projection