Considerations against concurrent functional endoscopic sinus surgery and rhinoplasty

Over the last decade, functional endoscopic sinus surgery (FESS) has become the surgical modality of choice in the treatment of inflammatory sinus disease refractory to medical therapy. During the same interval, interest in cosmetic surgery procedures, including rhinoplasty, has exploded. Some of the published literature endorses the performance of concurrent FESS and rhinoplasty. This article addresses some of the concerns regarding the combined approach and its limitations. It offers the reader a framework for surgical risk assessment when concurrent procedures are considered.