Indications for simultaneous aesthetic septorhinoplasty and functional endoscopic sinus surgery

A fair number of patients concurrently suffer from chronic rhinosinusitis and an aesthetically disturbing deformation of the nose. This group of patients is increasingly requesting simultaneous sinus surgery and aesthetic nose correction. Progresses made in the areas of rhinology surgery as well as endoscopic sinus surgery (FESS) in the last 25 years have entailed a review of the venerable principle of lagged rhinoplasty. Several surgeons began combining rhinoplasty with FESS where feasible. The few publications on this subject clearly state that the rate of infections or complications for both procedures conducted separately is low. Thus, no additional risk of common complications is seen in a combined surgical operation. The combined surgery FESS/rhinoplasty proves to be a foreseeable, secure and effective procedure significantly contributing to the patient's satisfaction when taking only mild and moderate forms of chronic rhinosinusitis into consideration, relinquishing complex exterior nose reconstructions and when put in the hands of experienced and specialized surgeons in a multidisciplinary surgical team consisting of the fields of ENT surgery as well as maxillofacial surgery or plastic surgery. Keywords: aesthetic septorhinoplasty, functional endoscopic sinus surgery (FESS), combination, chronic rhinosinusitis, nasal deformity