title: The utility of concurrent rhinoplasty and sinus surgery: a 2-team approach.
abstract: 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.
  
  
  CONCLUSIONS
  Patients presenting with nasal obstruction and chronic sinusitis tolerated combined rhinoplasty and sinus procedures without added morbidity.
authors.affiliation: Division of Otolaryngology, University of Wisconsin, Madison 53792-7375, USA. marcus@surgery.wisc.edu
authors.forename: Benjamin
authors.initials: B
authors.lastname: Marcus
authors.forename: Zara
authors.initials: Z
authors.lastname: Patel
authors.forename: Jose
authors.initials: J
authors.lastname: Busquets
authors.forename: Peter H
authors.initials: PH
authors.lastname: Hwang
authors.forename: Ted A
authors.initials: TA
authors.lastname: Cook
mesh_terms: D000328:Adult; D000368:Aged; D004724:Endoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000601:surgery; D010256:Paranasal Sinuses / Q000601:surgery*; D010348:Patient Care Team; D012225:Rhinoplasty / Q000379:methods*; D012852:Sinusitis / Q000601:surgery