Outcomes of Concurrent Endoscopic Sinus Surgery and Rhinoplasty: A Case Control Study
To evaluate results of concurrent functional endoscopic sinus surgery (FESS) and nasal plastic surgery in terms of safety, efficacy and patient satisfaction, and compare them with the results of single procedures. We conducted a prospective case control study in three groups of patients with chronic sinusitis and nasal deformity; 25 cases had concurrent FESS and rhinoplasty, 25 controls had FESS, and 25 controls had rhinoplasty alone. The patients preoperative and postoperative sino-nasal outcome test (SNOT22) and also patients' satisfaction using the visual analogue scale were evaluated after one year. There were no significant differences between aesthetic indexes of concurrent surgery and control groups. Also, we found no significant inter-group difference between SNOT22 scores. There was no major complication in the studied patients. Conducting nasal plastic surgery and FESS concurrently can be a feasible surgery with functional and aesthetic results comparable to those with individual FESS or rhinoplasty.
Marcus B, Patel Z, Busquets J, Hwang PH Cook TK. The Utility of Concurrent Rhinoplasty and Sinus Surgery. Arch Facial Plast Surg 2006;8(4): 260-2.
Murrell GL.Rhinoplasty and Functional Endoscopic Sinus Surgery. Plast Surg Int 2011; 473-81.
McGraw-Wall B, MacGregor AR.Concurrent functional endoscopic sinus surgery and rhinoplasty: pros. Facial Plast Surg Clin North Am 2004;12(4):425-9.
Ricardo MF, Giovanni F. Rhinoplasty and Endoscopic Surgery for Functional and Inflammatory Nasal/Sinus Disorders. Plast Reconstr Surg 2005;115(3):705-10.
Costa F Robiony M, Salvo I, Toro C, Sembronio S, Politi M. Simultaneous Functional Endoscopic Sinus Surgery and Esthetic Rhinoplasty in Orthognathic Patients. J Oral Maxilofac Surg 2008;66(7):1370-7.
Sclafani AP, Schaefer SD. Triological thesis: concurrent endoscopic sinus surgery and cosmetic rhinoplasty: rationale, risks, rewards, and reality. Laryngoscope 2009;119(4):778-91.
Inanli S, Sari M, Yazici MZ. The Results of Concurrent Functional Endoscopic Sinus Surgery and Rhinoplasty. J Craniofacial Surg 2008; 19(3): 701-4.
Kircher ML , Dutton JM. Concurrent endoscopic sinus surgery and rhinoplasty. Am J Rhinol 2006. 20(5): 485- 488.
Lee JH, Sherris DA, Moore EJ. Combined Open Septorhinoplasty and Functional Endoscopic Sinus Surgery. Otolaryngol Head Neck Surg 2005;133(3):436-40.
Gliklich RE, Lauretano AM. The Risk of Nasal Osteotomies After Ethmoid Sinus Surgery. Arch Otolaryngol Head Neck Surg 1995;121(11):1315-8.
Dufour X, BedierA, Ferrie J, Gohler C , Klossek J. Diffuse Nasal Polyposis and Endonasal Endoscopic Surgery: Long-Term Results, a 65-Case Study. Laryngoscope 2004;114(11):1982-7.
Moses JJ, Lange CR, Arredondo A. Endoscopic treatment of sinonasal disease in patients who have had orthognathic surgery. Br J Oral Maxillofac Surg 2000;38(3):177-84.
Millman B ,Smith R. The Potential Pitfalls of Concurrent Rhinoplasty and Endoscopic Sinus Surgery. Laryngoscope 2002;112(7 Pt 1):1193-6.
Rizk SS,Edelstein DR, Matarasso A. Concurrent functional endoscopic sinus surgery and rhinoplasty. Ann Plast Surg 1997;38(4):323.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.