{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T19:52:21Z","timestamp":1769197941129,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,5,11]],"date-time":"2019-05-11T00:00:00Z","timestamp":1557532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Chronic Rhinosinusitis Integrative Studies Program","award":["U19 AI106683"],"award-info":[{"award-number":["U19 AI106683"]}]},{"name":"Northwestern University-Patient-centered Intervention and Engagement Training K12 Faculty Scholars Training Program","award":["K12HS023011"],"award-info":[{"award-number":["K12HS023011"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To quantify and analyze the concurrent performance of rhinoplasty (RP) (with or without septoplasty) and functional endoscopic sinus surgery (FESS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:italic>Current Procedural Terminology<\/jats:italic>codes were used to extract cases of RP (n = 22,360), FESS (n = 99,173), and concurrent RP with FESS (RP + FESS) (n = 1,321) within the State Ambulatory Surgery Databases of California, Florida, Maryland, and New York from 2009 to 2011. Patient demographics, surgeon volume, charge, concurrent nasal procedures, and operating room (OR) time were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 1,321 RP + FESS combination cases, a majority involved primary rhinoplasty (n = 697, 52.8%), followed by nasal valve repair (n = 563, 42.6%) and revision rhinoplasty (n = 61, 4.6%). High\u2010volume (n &gt; 30), medium\u2010volume (n = 10\u201330), and low\u2010volume rhinoplasty surgeons (n \u2264 9) were observed to perform a similar number of FESS + RP combination surgeries (153, 152, and 155, respectively). A majority of RP + FESS involved two or fewer sinuses (65%). Mean OR time for RP + FESS was 189.4 \u00b1 4.2 minutes, approximately 50 minutes shorter than the sum of standalone RP performed individually (138.8 \u00b1 1.0 minutes) and standalone FESS (102.9 \u00b1 0.4 minutes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RP + FESS more frequently involved fewer sinuses (compared with FESS alone) and was also less likely to involve revision rhinoplasty (compared with rhinoplasty alone); therefore, these cases may be selected for lower sinus disease burden and less complex rhinoplasty compared to standalone procedures. Procedures combining rhinoplasty and sinus surgery had a reduction in OR time compared to the hypothetical sum of two standalone procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 130:E311\u2013E319, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28031","type":"journal-article","created":{"date-parts":[[2019,5,11]],"date-time":"2019-05-11T14:15:41Z","timestamp":1557584141000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Analysis of the operative utilization of concurrent rhinoplasty and endoscopic sinus surgery"],"prefix":"10.1002","volume":"130","author":[{"given":"Amit","family":"Kochhar","sequence":"first","affiliation":[{"name":"Rick and Tina Caruso Department of Otolaryngology\u2013Head and Neck Surgery Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanchen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurel","family":"Fisher","sequence":"additional","affiliation":[{"name":"Rick and Tina Caruso Department of Otolaryngology\u2013Head and Neck Surgery Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Byrne","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology \u2013Head and Neck Surgery Johns Hopkins School of Medicine Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie Shintani","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."},{"name":"Center for Healthcare Studies Northwestern University Feinberg School of Medicine Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth H.","family":"Ference","sequence":"additional","affiliation":[{"name":"Rick and Tina Caruso Department of Otolaryngology\u2013Head and Neck Surgery Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1985.00800120037003"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.8.5.306"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20098"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajr.2006.20.2933"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2004.04.007"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.8.4.260"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065891781874965"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556139407300810"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199704000-00003"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/S1064-7406(23)00450-9","article-title":"Endorhinoplasty: simultaneous rhinoplasty and endoscopic ethmoidectomy","volume":"7","author":"Friedman W.","year":"1999","journal-title":"Facial Plast Surg Clin North Am"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200207000-00009"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000152430.89225.F8"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.04.010"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3180690182"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21130"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814545442"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24901"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24335"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000224506.42567.6e"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2011.10.005"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2004.04.005"},{"key":"e_1_2_6_23_1","article-title":"BioPortal: enhanced functionality via new Web services from the National Center for Biomedical Ontology to access and use ontologies in software applications","author":"Whetzel P","journal-title":"Nucleic Acids Res. 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