Document Detail

Concurrent functional endoscopic sinus surgery and septorhinoplasty: using evidence to make clinical decisions.
MedLine Citation:
PMID:  23293086     Owner:  NLM     Status:  Publisher    
BACKGROUND: Concurrent septorhinoplasty (SRP) and functional endoscopic sinus surgery (FESS) has been a controversial topic in the literature over the last decade. Warnings and admonitions about the risks of performing these procedures together in a single surgery are both published and voiced at national meetings. Although pros and cons have been discussed in the literature, there have been no guidelines published based solely on a review of the level of evidence. METHODS: A systematic review of the literature was performed and the Clinical Practice Guideline Manual, Conference on Guideline Standardization (COGS), and the Appraisal of Guidelines and Research Evaluation (AGREE) instrument recommendations were followed. Study inclusion criteria were an adult population >18 years old, description or implication of study design available, concurrent FESS and SRP performed without additional procedures, and report of complications included in the study. RESULTS: We identified and evaluated the literature meeting those criteria: 11 retrospective studies. The literature was reviewed for both quality of research design as well as benefit and harm of the proposed interventions. CONCLUSION: If a patient is in need of FESS and SRP, either for functional or cosmetic reasons, and is found on the risk matrix to either have low or moderate risk, that patient is a good candidate for a concurrent procedure. If the patient is found to have higher risk, it is not an absolute contraindication, but the surgeon must use best clinical judgment when deciding to move forward and must counsel the patient preoperatively about possible increased risks.
Zara M Patel; Michael Setzen; Anthony P Sclafani; John M Del Gaudio
Related Documents :
23830986 - Effect of cancer surgery complexity on short-term outcomes, risk predictions, and hospi...
24498806 - Lich-gregoir procedure in treatment of the vesicoureteral reflux.
24067126 - Comparative study of flexible nasoendoscopic and rigid endoscopic examination for patie...
25380006 - Evolving practice patterns in the management of acute colonic diverticulitis: a populat...
22117956 - Suturing principles for the dentoalveolar surgeon.
24296096 - Vasopressor use after initial damage control laparotomy increases risk for anastomotic ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-7
Journal Detail:
Title:  International forum of allergy & rhinology     Volume:  -     ISSN:  2042-6984     ISO Abbreviation:  Int Forum Allergy Rhinol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101550261     Medline TA:  Int Forum Allergy Rhinol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 ARS-AAOA, LLC.
Department of Otolaryngology/Head and Neck Surgery, Emory University School of Medicine, Atlanta, GA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Multistage vectored siRNA targeting ataxia-telangiectasia mutated for breast cancer therapy.
Next Document:  Morphology of the elygium and developing umbraculum in the eye of amietia vertebralis tadpoles.