[Concurrent Endoscopic Sinus Surgery (FESS) with Septorhinoplasty - Indication, Risks and Chances]

Area of Science:

• Otolaryngology
• Rhinology
• Surgical Innovation

Background:

• Chronic rhinosinusitis (CRS) often coexists with outer nose deformities.
• Patients may require septorhinoplasty (SRP) for functional or aesthetic reasons, sometimes combined with functional endoscopic sinus surgery (FESS).

Purpose of the Study:

• To evaluate the benefit and safety of a combined FESS and SRP approach.
• To compare outcomes of combined surgery versus SRP alone in patients with CRS and nasal deformity.

Main Methods:

• Prospective study comparing 55 patients undergoing combined FESS and SRP with 55 patients undergoing SRP alone.
• All patients received standardized anesthesia and antibiotic prophylaxis (clindamycin).
• Outcomes assessed included inflammation rates and surgical complications.

Main Results:

• No significant difference in inflammation or complications (bleeding, edema) between the groups.
• Surgical time was the only noted difference between the combined approach and SRP alone.
• Rates of minor revisions after SRP were comparable in both study and control groups.

Conclusions:

• Combined FESS and SRP is a safe and effective treatment for patients with CRS and concurrent nasal deformity.
• This combined surgical strategy does not elevate the risk of complications compared to SRP alone.