Septoplasty and Endoscopic Sinus Surgery for a Nasal Polyp?

It is certainly possible and very common to have both septoplasty and endoscopic sinus surgery done at the same time.  A septoplasty is performed for functional breathing problems when a crooked or deviated septum is blocking airflow through the nose.  Sinus surgery is performed for nasal polyps, which can cause chronic sinusitis.  The symptoms of chronic sinusitis include ongoing facial headaches, pain, pressure, postnasal drip, drainage, congestion, and repetitive sinus infections.  Functional endoscopic sinus surgery opens up the affected sinuses, removes the polyps and is an excellent procedure to relieve chronic sinusitis.  A cosmetic rhinoplasty can also be done at the same time if the patient desires.  The combined surgery of septoplasty and endoscopic sinus surgery is between 30 and 60 minutes.  The postoperative recovery is the same.

Not only can septoplasty and endoscopic sinus surgery be done at the same time, but they frequently are.  The possible reasons are multiple, but the most common are when both issues contribute to nasal blockage, or if the deviation of the septum has to be corrected to give better access to the sinuses for polyp removal.

I do not often recommend endoscopic sinus surgery (for polyps) to be done at the same time as rhinoplasty surgery.  These are operations to address unrelated issues, and I do not want to risk compromising the outcome of one in favor of the other. 

Septoplasty and Endoscopic sinus surgery can and are often performed at the same time, in course of nasal polyp removal. Typically, the septoplasty is performed to correct septal deviation that impedes access to the drainage paths from the sinus to the nasal cavity. Septoplasty, by opening up room in the nasal cavity, allows the endoscopic polypectomy to proceed more smoothly. 

Septoplasty adds about 15-25 minutes to surgical time. Total surgery time for both procedures, depends on how many sinuses need to be "opened" to clear polyps.