Concurrent endoscopic sinus surgery and rhinoplasty

Area of Science:

• Otolaryngology
• Plastic Surgery

Background:

• Concurrent endoscopic sinus surgery (ESS) and rhinoplasty raise concerns regarding increased surgical risk and complications.
• Evaluating the safety of combined ESS and rhinoplasty is crucial for patient care.

Purpose of the Study:

• To assess the overall safety and complication rates of performing ESS and rhinoplasty concurrently.
• To determine if ESS impacts rhinoplasty outcomes or vice versa.

Main Methods:

• A retrospective chart review of 48 patients undergoing concurrent ESS and rhinoplasty from 1998 to 2005.
• Documentation of surgical procedures, revision rates, and postoperative complications with a mean 12-month follow-up.

Main Results:

• The study included 31 women and 17 men (mean age 37 years).
• A low rhinoplasty revision rate of 8.3% (4/48) and a complication rate of 6.3% (3/48) were observed.
• Complications included partial nasal obstruction, pain, and localized infection; none were definitively linked to the combined approach.

Conclusions:

• Rhinoplasty revisions were not associated with concurrent ESS.
• The only complication possibly linked to the combined approach was a postoperative infection in an insulin-dependent diabetic patient.
• Screening patients for wound healing factors and severe chronic rhinosinusitis is recommended before combined procedures.