The Utility of Concurrent Rhinoplasty and Sinus Surgery

Abstract

To evaluate the safety and efficiency of and patient satisfaction with a 2-team approach for combined rhinoplasty and sinus surgery.Methods: Weconductedaretrospectivemedicalchartanalysis of consecutive patients with sinus disease and functional nasal obstruction. Forty-four patients (29 women and 15 men; age range, 22-75 years) had severe nasal obstruction with chronic sinusitis and were found to have indications for this procedure. All patients were followed up for a minimum of 6 months after surgery. Patients completed a standardized questionnaire at the time of medical chart review, and 36 patients completed a telephone interview.Results: All 44 patients underwent rhinoplasty with an endoscopic sinus procedure. Twenty-seven procedures (61%) were endonasal, whereas 17 (39%) were open rhi-

Triological thesis: concurrent endoscopic sinus surgery and cosmetic rhinoplasty: Rationale, risks, rewards, and reality

“…While these authors did not describe the extent or findings of the sinus surgery, they did note that they did not perform concurrent CR on any patient with preoperative CT evidence of severe (defined as Lund‐Mackay score of 8 or more) sinusitis. Finally, Marcus et al9 reported only 2 of 44 patients who underwent concurrent ESS/CR over an 8‐year period developed postoperative cellulitis.…”

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

“…They concluded that the combined procedure was safe, but patients should be screened for woundhealing factors as well as severe sinusitis. Marcus et al 17 also reported on 44 patients undergoing concurrent FESS and SRP. In addition to reporting only 2 complications, 1 cellulitis (2.3%) and 1 vestibulitis (2.3%), they carried out a patient satisfaction survey and reported that 92% of patients said they would recommend a concurrent procedure to others.…”

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

“…However, with the advent of minimally invasive techniques for performing FESS, there is less disruption to nasal structures that support the external nose. Moreover, with present perioperative antibiotic therapy, contamination of the external nose from sinusitis is low . 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 .…”

“…Moreover, with present perioperative antibiotic therapy, contamination of the external nose from sinusitis is low . 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 .…”