Harvard Vanguard Medical Associates, Boston, Massachusetts, USA.
Laryngoscope. 2009 Dec;119(12):2454-6. doi: 10.1002/lary.20640.
OBJECTIVES/HYPOTHESIS: There are various surgical techniques designed to treat conchae bullosae (CB). These include partial or total resection and crushing. Frontal sinus balloon sinuplasty is thought to work by the crushing/remodeling of the agger nasi and frontal recess air cells. The long-term outcome of sinuplasty in the frontal/ethmoid air cell region is unknown. To date, no study has been done on the reformation of CB after crushing. We report on the long-term outcome of a series of patients who underwent crushing of their CB and suggest implications for frontal sinus balloon sinuplasty.
Retrospective case series.
Retrospective review of 10 patients who re-presented with CB as a component of their nasal obstructive symptoms despite previously undergoing crushing of their CB. Data analyzed included paranasal sinus computed tomography (CT) scans and operative reports.
These 10 patients re-presented with recurrent rhinosinusitis and nasal obstructive symptoms. The patients had previously undergone septoplasty surgery with crushing of the CB and were noted to have reformed the CB on their most recent sinus CT. The previous surgeries were preformed from 2 to 15 years prior to their representation.
CB can reform following crushing technique. One may extrapolate that agger nasi and frontal recess air cells may reform following balloon sinuplasty leading to recurrent obstruction of the frontal sinus outflow tract.
目的/假设：有各种旨在治疗泡性鼻甲（CB）的手术技术。这些技术包括部分或全部切除和粉碎。人们认为额窦球囊鼻窦切开术通过粉碎/重塑额隐窝和额窦腔空气细胞起作用。鼻窦球囊切开术在额窦/筛窦气房区域的长期效果尚不清楚。迄今为止，尚无关于粉碎后 CB 再形成的研究。我们报告了一系列接受 CB 粉碎的患者的长期结果，并提出了对额窦球囊鼻窦切开术的影响。
回顾性病例系列。
回顾性分析 10 例患者，这些患者在先前接受 CB 粉碎后，仍因 CB 作为其鼻腔阻塞症状的一部分而再次出现。分析的数据包括副鼻窦计算机断层扫描（CT）扫描和手术报告。
这 10 例患者再次出现复发性鼻窦炎和鼻腔阻塞症状。这些患者曾接受过鼻中隔成形术和 CB 粉碎术，最近的鼻窦 CT 显示 CB 已经重新形成。之前的手术是在他们出现症状的 2 到 15 年前进行的。
粉碎技术后 CB 可再形成。人们可以推断，球囊鼻窦切开术后额隐窝和额窦腔空气细胞可能会重新形成，导致额窦流出道阻塞复发。
