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The Utility of Concurrent Rhinoplasty and Sinus Surgery
A 2-Team Approach
Benjamin Marcus, MD;
Zara Patel, BS;
Jose Busquets, MD;
Peter H. Hwang, MD;
Ted A. Cook, MD
Arch Facial Plast Surg. 2006;8:260-262.
Objective To evaluate the safety and efficiency of and patient satisfaction with a 2-team approach for combined rhinoplasty and sinus surgery.
Methods We conducted a retrospective medical chart analysis of consecutive patients with sinus disease and functional nasal obstruction. Forty-four patients (29 women and 15 men; age range, 22-75 years) had severe nasal obstruction with chronic sinusitis and were found to have indications for this procedure. All patients were followed up for a minimum of 6 months after surgery. Patients completed a standardized questionnaire at the time of medical chart review, and 36 patients completed a telephone interview.
Results All 44 patients underwent rhinoplasty with an endoscopic sinus procedure. Twenty-seven procedures (61%) were endonasal, whereas 17 (39%) were open rhinoplasty. Patients with internal nasal valve collapse underwent 28 butterfly grafts, 6 spreader grafts, and 8 batten grafts. The endoscopic sinus procedures consisted of maxillary antrostomy (30/44 [68%]) and ethmoidectomy (28/44 [63%]). Overall, 20 (65%) of 31 patients reported a postsurgical nasal airway that was significantly improved. Most sinus symptoms were resolved postoperatively, with 25 (71%) of 35 patients describing their improvement as significant. Thirty-two (92%) of 36 patients stated that they would recommend the concurrent procedure.
Conclusion Patients presenting with nasal obstruction and chronic sinusitis tolerated combined rhinoplasty and sinus procedures without added morbidity.
Author Affiliations: Division of Otolaryngology, University of Wisconsin, Madison (Dr Marcus); and Sections of Rhinology (Drs Busquets and Hwang) and Facial Plastic and Reconstructive Surgery (Dr Cook), Oregon Health and Sciences University (Ms Patel), Portland.
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