Abstract

Chronic rhinosinusitis (CRS), functional respiratory disorders, and nasal aesthetic disorders are very common disorders. The development of endoscopic sinus surgery (FESS) raises the question of the safety and effectiveness of combined surgery. This clinical case series included 50 patients: 30 females, 20 males over 18 years of age, whose main complaints were nasal septum deviation, chronic hypertrophic rhinitis combined with atrophy of the maxillary sinus mucosa, cysts, and very few ethmoidal polyps that did not respond to drug treatment for at least 3 consecutive months.Surgical treatment was combined with functional endoscopic sinus surgery (FESS) and rhinoplasty.The incidence of postoperative complications, patient satisfaction with cosmetic and functional outcomes were analyzed. Simultaneous rhinoseptoplasty and endoscopic sinus surgery are possible without reducing the effectiveness of each of these operations. However, there are no generally accepted guidelines for the procedure, the extent of surgical intervention, and there is no generally accepted standard for assessing surgical risk. The combination of endoscopic sinus surgery and rhinoplasty is an effective and safe method that allows solving both functional and aesthetic problems of the nose during a single procedure. Further large-scale, controlled studies will help to definitively define its advantages and limitations.

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