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Adding rhinoplasty (RP) to endoscopic sinus surgery (ESS) and septoplasty (SP) did not significantly alter outcomes compared to ESS and SP alone. A slight increase in minor complications was observed with the addition of RP.

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Surgical Innovation

Background:

  • Chronic rhinosinusitis (CRS) management often involves endoscopic sinus surgery (ESS) and septoplasty (SP).
  • Rhinoplasty (RP) is frequently performed to address functional and aesthetic nasal concerns.
  • The combined approach of ESS, SP, and RP in a single session warrants investigation for safety and efficacy.

Purpose of the Study:

  • To compare postoperative outcomes between concurrent endoscopic sinus surgery (ESS), septoplasty (SP), and rhinoplasty (RP) versus concurrent ESS and SP.
  • To evaluate the impact of adding RP to ESS and SP on complications, symptom improvement, and patient satisfaction.

Main Methods:

  • A retrospective matched-cohort study comparing patients undergoing concurrent ESS, SP, and RP with a control group undergoing ESS and SP.
  • Matching criteria included sex, age, and sinonasal surgical history for CRS.
  • Literature review of previous studies on concurrent sinonasal surgeries.

Main Results:

  • No statistically significant differences were found in postoperative complications, respiratory symptom improvement, CRS persistence, revision surgery rates, or patient satisfaction between the two groups (P > 0.05).
  • A statistically significant increase in postoperative complications was noted in the ESS, SP, and RP group due to the added invasiveness of RP (P < 0.05).
  • Most complications in the combined group were minor and had low impact.

Conclusions:

  • Concurrent ESS, SP, and RP is a safe and effective surgical option.
  • Adding RP to ESS and SP does not negatively impact the primary outcomes of ESS and SP, with only a minor increase in low-impact complications.