Background: Concurrent functional endoscopic sinus surgery (FESS) and septorhinoplasty are performed either for cosmetic reasons or for a medical condition. Many patients are not satisfied with their nose shape or have breathing problem. These problems usually occur as a result of nasal fracture, obstruction, chronic sinusitis, or polyps. Case presentation: The present case was a 45-year-old non-smoker Saudi male patient, who presented to King Abdullah medical city outpatient clinic with a history of chronic right nasal obstruction for 15 years. A computerized tomography scan of a paranasal sinus with navigation protocol showed bilateral nasal polyps. Endoscopic sinus surgery was performed under general anesthesia. After FESS surgery, rhinoplasty by inverted C-shape incision, and elevation of the flap was done. The patient showed improvement and was discharged with monthly follow-up. Conclusion: These procedures are safe and cost effective. It minimizes hospital stay and can treat functional complaints, such as nasal obstruction, sinus problems, septum deviation, and polyps removal at the same time.
Key words: Nasal polyps, functional endoscopic sinus surgery, septorhinoplasty.
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