title: Concurrent rhinoplasty and endoscopic sinus surgery: a review of the pros and cons and a template for success.
abstract: Historically concurrent FESS/rhinoplasty was avoided due to concerns of increased risk of complication. Recent studies have shown that FESS/rhinoplasty can be performed simultaneously with good outcomes and no significant increase in complications. A thorough and effective approach to the patient with sinonasal obstruction requires attention to aesthetic, functional, and inflammatory issues. Medical treatment is an important adjuvant to surgery in order to optimize outcomes by improving patient symptoms long-term. Surgery for these patients should be performed in a careful, stepwise approach to address the nasal septum, inferior turbinates, paranasal sinuses, and external nasal structures.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, 601 North Caroline Street, 6th Floor 6240, Baltimore, MD 21287, USA. dreh1@jhmi.edu
authors.forename: Douglas D
authors.initials: DD
authors.lastname: Reh
authors.forename: Jason Y K
authors.initials: JY
authors.lastname: Chan
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Byrne
mesh_terms: D004724:Endoscopy; D006801:Humans; D015508:Nasal Obstruction / Q000150:complications / Q000601:surgery*; D010256:Paranasal Sinuses / Q000601:surgery*; D011183:Postoperative Complications; D012220:Rhinitis / Q000150:complications / Q000601:surgery*; D012225:Rhinoplasty / Q000009:adverse effects / Q000379:methods; D012852:Sinusitis / Q000150:complications / Q000601:surgery*