Adenoidectomy and chronic nasal obstruction developing after failure of nasal steroid therapy

We reviewed, with great interest, the paper entitled "Role of adenoidectomy in chronic nasal obstruction after nasal steroid therapy failure" by Ciolek et al. [1]. This is excellent work. In the study, the authors document an average rate of respiratory allergies, but a high rate of asthma, among patients who fail nasal steroid therapy to treat chronic nasal obstructions. The authors suggest that adenoidectomy was highly efficacious in this subset of patients. However, adenoidectomy may not be necessary.

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