Functional and cosmetic results in 93 patients were analysed on averag
e at 42 months after lateral rhinotomy and medial maxilloethmoidectomy
. The rate of postoperative complications was 11.8%. The final cosmeti
c result was more than 1 year postoperatively satisfactory or better i
n 93.1% after osteoclastic and in 97.8% after osteoplastic lateral rhi
notomy. 38.7% of the patients suffered from different postoperative co
mplaints. The main problems were endonasal crusting, hypaesthesia in t
he V2 region, olfactory dysfunction and epiphora. Considering the resu
lts neither the rate of complications nor the cosmetic outcome are cri
tical as usually mentioned in the literature. However, the rate of oth
er different problems complained by the patients postoperatively give
reason to add alternative oncosurgical procedures like midfacial deglo
ving and endoscopic techniques, to the general operative repertoire of
a hospital.