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Related Concept Videos

Epistaxis01:30

Epistaxis

382
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
382

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Updated: Nov 26, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Outcomes of Concurrent Functional Endoscopic Sinus Surgery and Rhinoplasty: A Meta-analysis.

Benjamin F Bitner1, Karthik R Prasad1, Khodayar Goshtasbi1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of California Irvine Medical Center, Orange, California.

American Journal of Rhinology & Allergy
|December 11, 2020
PubMed
Summary
This summary is machine-generated.

Combining functional endoscopic sinus surgery (FESS) with rhinoplasty does not increase complication risks or negatively impact symptom recurrence, revision rates, or patient satisfaction compared to standalone procedures.

Keywords:
chronic rhinosinusitisconcurrent surgeryendoscopic sinus surgerypostoperative outcomesrhinoplasty

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Medical Outcomes Research

Background:

  • Chronic rhinosinusitis (CRS) and nasal airway obstruction significantly impact quality of life.
  • Patients may opt for combined functional endoscopic sinus surgery (FESS) and rhinoplasty (either functional or cosmetic) for improved outcomes.
  • Understanding the risks and benefits of combined procedures is crucial for patient counseling.

Purpose of the Study:

  • To evaluate and compare the outcomes of combined FESS and rhinoplasty versus standalone procedures.
  • To determine if combining surgeries affects complication rates, symptom recurrence, revision rates, and patient satisfaction.

Main Methods:

  • A comprehensive literature search was conducted across PubMed, Ovid MEDLINE, and Cochrane databases.
  • Studies were categorized based on whether patients underwent FESS alone, rhinoplasty alone, or combined surgery.
  • Binary random-effects models were used to calculate odds ratios for key outcomes.

Main Results:

  • Analysis of 6 studies (including 405 patients in combined cases) revealed no statistically significant difference in major complication rates between combined surgery and standalone rhinoplasty (OR 1.37).
  • Recurrence of CRS symptoms was observed in 35.6% of combined cases versus 28.9% of FESS cases, with no significant difference (OR 1.42).
  • Revision rates and patient satisfaction were comparable between combined and standalone procedures, with 91.6% satisfaction in combined cases.

Conclusions:

  • Combined FESS and rhinoplasty demonstrate similar complication risks compared to rhinoplasty alone.
  • There are no significant differences in symptom recurrence, revision rates, or patient satisfaction between combined and standalone surgeries.
  • The findings support the safety and efficacy of combining these procedures for appropriate patient candidates.