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Combined open septorhinoplasty and functional endoscopic sinus surgery
Jonathan H Lee1, David A Sherris, Eric J Moore
1Department of Otorhinolaryngology--Head and Neck Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Summary
Performing open septorhinoplasty (OSR) and functional endoscopic sinus surgery (FESS) together is safe. This study found no significant increase in complications when combining these procedures, suggesting a safe approach for patients needing both surgeries.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Rhinology
Background:
- Open septorhinoplasty (OSR) and functional endoscopic sinus surgery (FESS) are common procedures.
- The safety of performing OSR and FESS concomitantly requires further investigation.
Purpose of the Study:
- To compare perioperative and early postoperative complication rates of combined open septorhinoplasty and functional endoscopic sinus surgery (OSR and FESS) versus individual procedures.
- To assess the safety and potential risks associated with combined OSR and FESS.
Main Methods:
- Retrospective chart review of 55 patients undergoing combined OSR and FESS at an academic referral center.
- Comparison of complication rates from the combined procedures with published data for individual OSR and FESS.
Main Results:
- No major complications were observed in the 55 cases.
- A total of 6 (11%) minor complications occurred: 4 cases of cellulitis (7%) and 2 cases of postoperative epistaxis (4%).
- The observed complication rates were comparable to or lower than previously published rates for individual procedures, except for a slightly higher incidence of cellulitis.
Conclusions:
- Combined OSR and FESS can be performed safely without a clinically significant increase in overall complications.
- The slightly elevated risk of cellulitis suggests considering intraoperative sinus irrigation and postoperative antibiotic prophylaxis for combined procedures.