Combined open septorhinoplasty and functional endoscopic sinus surgery.
OBJECTIVE
To compare perioperative and early postoperative complication rates of performing open septorhinoplasty (OSR) and functional endoscopic sinus surgery (FESS) concomitantly or individually.


METHODS
Retrospective chart review of 55 patients treated at an academic referral center who had undergone combined OSR and FESS. Complication rates for the combined procedures were compared with published complication rates for the individual procedures.


RESULTS
Patients' ages ranged from 14 to 77 years (average, 43 years). Among the 55 cases, there were no major complications and 6 (11%) minor complications: 4 cases of cellulitis (7%; previously published risk, 1%-3%) and 2 cases of postoperative epistaxis (4%).


CONCLUSIONS
OSR and FESS may be performed safely in combination without a clinically significant increased risk of complications.


CONCLUSIONS
The slightly increased risk of cellulitis may warrant the use of intraoperative sinus irrigation and postoperative antibiotic prophylaxis after combined OSR and FESS.
Lee
Jonathan H
JH
Department of Otorhinolaryngology--Head and Neck Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Sherris
David A
DA
Moore
Eric J
EJ
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002481:Cellulitis / Q000453:epidemiology / Q000209:etiology; D002908:Chronic Disease; D004724:Endoscopy / Q000379:methods*; D004844:Epistaxis / Q000453:epidemiology / Q000209:etiology; D005005:Ethmoid Sinus / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000601:surgery; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D012852:Sinusitis / Q000601:surgery*; D013101:Sphenoid Sinus / Q000601:surgery; D014420:Turbinates / Q000601:surgery