Concurrent functional endoscopic sinus surgery and rhinoplasty: pros |
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Authors: | McGraw-Wall Becky MacGregor Allison R |
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Institution: | Department of Otolaryngology-Head and Neck Surgery, University of Texas, Houston Medical School, 6431 Fannin Street, Suite 6.112, Houston, TX 77030, USA. Becky.L.McGraw-Wall@uth.tmc.edu |
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Abstract: | Despite historical concerns about the spread of infection from the sinuses to the nasal tissues,concurrent septorhinoplasty and endoscopic sinus surgery may be performed safely in most patients who meet the criteria for sinus surgery. However, otolaryngologists should use good medical judgment in selecting patients appropriate for the combined procedures.Patients with extensive sinus pathology or systemic illness are not the ideal candidates for concurrent surgery. It is recommended to perform the septal and sinus surgery first, so that the surgeon may postpone the elective rhinoplasty procedure if unfavorable intraoperative circumstances develop. Overall, when performed in carefully selected patients, contemporaneous rhinoplasty and endoscopic sinus surgery is safe and effective and offers many advantages for the patient. |
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