title: [Concurrent Endoscopic Sinus Surgery (FESS) with Septorhinoplasty - Indication, Risks and Chances].
abstract: BACKGROUND
  Patients with a chronic rhinosinusitis (CRS) and a concurrent deformity of the outer nose often require a septorhinoplasty (SRP) for functional or aesthetic reasons, combined with functional endoscopic sinus surgery (FESS). Aim of this study was to rule out the benefit of this combined approach.
  
  
  METHODS
  In a prospective study of 55 patients (30 m, 25 f, age 16-77 years) with a chronic rhinosinusitis with or without polyps combined with a deformity of the outer nose we performed a FESS together with a SRP using a closed or open approach. The control group included 55 patients (18 m, 37 w, age 18-62 years) with SRP alone. All patients got the same type of anestesia and an antibiotic prophylaxis with clindamycin. We compared the rates of inflammation and other complications of surgery.
  
  
  RESULTS
  The only difference between study group and control group was the period of time for surgery. There was neither a relevant inflammation in both groups nor any other significant complication (bleeding, edema, etc). Also the rate of minor revisions after SRP was almost the same in both groups.
  
  
  CONCLUSIONS
  The combined FESS and SRP is a safe and effective method without an increased risk of complications compared with SRP alone.
authors.affiliation: HNO-Gemeinschaftspraxis Calenberger Esplanade, Hannover.
authors.forename: T
authors.initials: T
authors.lastname: Koch
authors.affiliation: Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Medizinische Hochschule Hannover, Hannover.
authors.forename: T
authors.initials: T
authors.lastname: Lenarz
authors.affiliation: Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Medizinische Hochschule Hannover, Hannover.
authors.forename: S
authors.initials: S
authors.lastname: Stolle
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D003131:Combined Modality Therapy / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D059747:Nasal Surgical Procedures / Q000379:methods*; D017063:Outcome Assessment, Health Care; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D012220:Rhinitis / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012307:Risk Factors; D012852:Sinusitis / Q000601:surgery*; D055815:Young Adult