Concurrent functional endoscopic sinus surgery and septorhinoplasty: using evidence to make clinical decisions

Patel, Zara M.; Setzen, Michael; Sclafani, Anthony P.; Gaudio, John M. Del

doi:10.1002/alr.21130

Cited by 11 publications

(17 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2004, Fakhri and Citardi created a risk matrix as a clinical guide for combination RP + FESS that was revised by Patel et al in 2013 (Table ) . Our findings show that their decision matrix has largely been followed.…”

Section: Discussionmentioning

confidence: 69%

“…Only a small fraction of patients underwent revision rhinoplasty (n = 61) with any number of sinuses treated. Thus, the majority of patients undergoing combined RP + FESS in this cohort would be considered low or variable risk based on the risk matrix . This suggests that surgeons performing combined surgery seem to be selecting for a lower sinus disease burden as well as a lower need for complex nasal reconstruction.…”

Section: Discussionmentioning

confidence: 95%

“…Likewise, NVR has been the option of choice during rhinoplasty for patients with known valve collapse to improve functional outcomes. Several retrospective case series and one nonrandomized retrospective comparative trial have reported that combination RP + FESS is safe and efficacious, with no increase in minor complications when compared to sinus surgery alone …”

Section: Discussionmentioning

confidence: 99%

“…Several authors suggest that if surgery is indicated, a combined procedure seems to offer the benefit of reduced healing time, decreased cost, and increased operative efficiency . However, a recent review of the literature on the combination of these two procedures provides evidence from single‐surgeon/single‐institution case series only . A systematic review on the subject was performed in 2013 and found only 11 studies that met criteria for inclusion.…”

Section: Introductionmentioning

confidence: 99%

“…A systematic review on the subject was performed in 2013 and found only 11 studies that met criteria for inclusion. Of these, only three had more than 50 patients included …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Analysis of the operative utilization of concurrent rhinoplasty and endoscopic sinus surgery

Kochhar¹,

Zhang

Fisher³

et al. 2019

The Laryngoscope

View full text Add to dashboard Cite

Objectives/Hypothesis: To quantify and analyze the concurrent performance of rhinoplasty (RP) (with or without septoplasty) and functional endoscopic sinus surgery (FESS).Study Design: Cross-sectional analysis. Methods: Current Procedural Terminology codes were used to extract cases of RP (n = 22,360), FESS (n = 99,173), and concurrent RP with FESS (RP + FESS) (n = 1,321) within the State Ambulatory Surgery Databases of California, Florida, Maryland, and New York from 2009 to 2011. Patient demographics, surgeon volume, charge, concurrent nasal procedures, and operating room (OR) time were compared.Results: Among the 1,321 RP + FESS combination cases, a majority involved primary rhinoplasty (n = 697, 52.8%), followed by nasal valve repair (n = 563, 42.6%) and revision rhinoplasty (n = 61, 4.6%). High-volume (n > 30), mediumvolume (n = 10-30), and low-volume rhinoplasty surgeons (n ≤ 9) were observed to perform a similar number of FESS + RP combination surgeries (153, 152, and 155, respectively). A majority of RP + FESS involved two or fewer sinuses (65%). Mean OR time for RP + FESS was 189.4 AE 4.2 minutes, approximately 50 minutes shorter than the sum of standalone RP performed individually (138.8 AE 1.0 minutes) and standalone FESS (102.9 AE 0.4 minutes).Conclusions: RP + FESS more frequently involved fewer sinuses (compared with FESS alone) and was also less likely to involve revision rhinoplasty (compared with rhinoplasty alone); therefore, these cases may be selected for lower sinus disease burden and less complex rhinoplasty compared to standalone procedures. Procedures combining rhinoplasty and sinus surgery had a reduction in OR time compared to the hypothetical sum of two standalone procedures.

show abstract

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…A systematic review on the subject was performed in 2013 and found only 11 studies that met criteria for inclusion. Of these, only three had more than 50 patients included …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Analysis of the operative utilization of concurrent rhinoplasty and endoscopic sinus surgery

Kochhar¹,

Zhang

Fisher³

et al. 2019

The Laryngoscope

View full text Add to dashboard Cite

show abstract

Effects of topical phenytoin on nasal wound healing after mechanical trauma: An experimental study

et al. 2014

View full text Add to dashboard Cite

show abstract

Quality of Life Improvement in Concurrent Septorhinoplasty and Endoscopic Sinus Surgery

Bulut,

Lippert,

Riedel

et al. 2023

The Laryngoscope

View full text Add to dashboard Cite

ObjectivesSeptorhinoplasty (SRPL) and functional endoscopic sinus surgery (FESS) are two frequently performed surgeries to improve quality of life (QoL) in patients with nasal symptoms. It has been demonstrated as a safe combination regarding complication rates, but patient satisfaction in concurrent surgery has not been adequately studied yet.MethodsPatients undergoing sole FESS due to chronic rhinosinusitis (n = 57), sole SRPL (n = 148), and concurrent surgery (n = 62) were prospectively evaluated for their disease‐specific QoL before and one year after surgery. Each procedure was performed by the same surgeon (OCB). For SRPL, the patient‐reported outcome measures Rhinoplasty Outcomes Evaluation (ROE) and Functional Rhinoplasty Outcome Inventory (FROI‐17) were utilized, and for chronic rhinosinusitis, the Sino‐Nasal Outcome Test‐22 (SNOT22).ResultsAll three groups showed significant improvement in the postoperative QoL measurements (all p < 0.01). The postoperative improvements were slightly smaller in the concurrent surgery group compared with the single surgery groups measured with ROE (combined: +55.2 ± 9.3, single: +58.8 ± 9.8, p = 0.02), FROI total score (combined: +47.6 ± 5.2, single: +49 ± 5.4; p = 0.08) and SNOT22 (combined: +33.1 ± 6.7, single +34.5 ± 7, p = 0.26).ConclusionsSRPL, FESS, and combined surgery improve disease‐specific QoL. When applicable, surgeons may offer the benefits of a combined procedure without compromising the QoL gain.Level of EvidenceLevel 3 Laryngoscope, 2023

show abstract

Concurrent functional endoscopic sinus surgery and septorhinoplasty: using evidence to make clinical decisions

Cited by 11 publications

References 23 publications

Analysis of the operative utilization of concurrent rhinoplasty and endoscopic sinus surgery

Analysis of the operative utilization of concurrent rhinoplasty and endoscopic sinus surgery

Effects of topical phenytoin on nasal wound healing after mechanical trauma: An experimental study

Quality of Life Improvement in Concurrent Septorhinoplasty and Endoscopic Sinus Surgery

Contact Info

Product

Resources

About