Concurrent functional endoscopic sinus surgery and rhinoplasty: pros.

Despite historical concerns about the spread of infection from the sinuses to the nasal tissues,concurrent septorhinoplasty and endoscopic sinus surgery may be performed safely in most patients who meet the criteria for sinus surgery. However, otolaryngologists should use good medical judgment in selecting patients appropriate for the combined procedures.Patients with extensive sinus pathology or systemic illness are not the ideal candidates for concurrent surgery.

Frontal sinus fractures.

Frontal sinus fractures can have serious consequences due to the proximity of the sinus to the intracranial cavity, and the potential for nasofrontal duct obstruction with its long-term sequelae. Management of these fractures varies dependent on several factors. These include the degree of displacement of the fractures; involvement of the anterior table, the posterior table, and/or the nasofrontal duct; and the presence of cerebrospinal fluid leakage.

Analysis of nasal air flow following repair of vestibular stenosis.

Objective: Vestibular stenosis is an uncommon but debilitating cause of nasal obstruction. The etiology of the stenosis is variable, but iatrogenic causes are by far the most common. A number of techniques have been described for repair of the stenotic segment.

Massive macroglossia after posterior fossa surgery in the prone position.

We describe an unusual case of severe postoperative macroglossia after posterior fossa surgery in the prone position, and review potential causative factors and prophylactic measures that may alleviate this serious complication.