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Abstracts: Commentary |

The Importance of Good Outcomes Data in Studies of Nasal and Sinus Surgery

Donald A. Leopold, MD
Arch Facial Plast Surg. 2005;7(6):423. doi:10.1001/archfaci.7.6.423.
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In this article, Mazzola and Felisati describe their 2-surgeon combination of endoscopic sinus surgery for nasal airway and inflammatory sinus problems along with traditional rhinoplasty. They adequately describe the advantages of using an endoscope to correct nasal airway problems. With it, one can accurately diagnose the problem and treat it with minimal disruption to surrounding structures. With a limited dissection, there is less chance for poor healing, septal perforation, scars, and synechiae. They also describe the advantages of the traditional endoscopic techniques to repair airways that are blocked by inferior or middle turbinate enlargements. I agree with their statement that a severe rhinosinusitis would preclude cosmetic alteration of the nasal structures, but a mild problem should not be a contraindication. The fact that only 1 of their 17 patients with chronic rhinosinusitis had a reccurrence of polypoid maxilloethmoidal disease indicates the minor degree of disease in their patient group.

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