In reference to Reformation of concha bullosa following treatment by crushing surgical technique: implication for balloon sinuplasty.

摘要

In the December 2009 issue, authors David A. Kieff, MD and Nicolas Y. Busaba, MD, FACS, published their article titled "Reformation of Concha Bullosa Following Treatment by Crushing Surgical Technique: Implication for Balloon Sinuplasty."1 This is a retrospective case series of 10 patients, in which the authors claim that middle turbinate concha bullosa reforms after previous crushing, causing chronic maxillary sinusitis and nasal obstruction. In addition, the authors use this observation to relate their findings and imply the possibility of reste-nosis of the sinuses when balloon catheter dilation techniques are used. The authors make a great leap of reasoning to relate these two claims, which is ill-founded and illogical based on the data they present and the data in the published literature. I have had experience in both of these areas and have not found this to occur; therefore, I disagree with their conclusion.