Treatment of inverted papilloma with endonasal endoscopic sinus surgery
Andersen, P.J.; Kjeldsen, A.D.øh.; Pedersen, A.T.
Ugeskrift for Laeger 164(37): 4283-4287
2002
ISSN/ISBN: 0041-5782 PMID: 12362870 Document Number: 542034
Inverted papilloma is a benign sinonasal tumour and has a marked tendency to recur after surgical excision. The tumour may be associated with malignancy and during growth it may destroy surrounding tissue. The treatment is either lateral rhinotomy or endoscopic sinus surgery. The aim of the study was to describe the course of all patients treated with endoscopic sinus surgery at the ENT Department at Vejle County Hospital during the period 1 January to 31 December 1999. Twenty-eight journals of patients diagnosed with inverted nasal papillomas were reviewed retrospectively. All patients underwent endoscopic sinus surgery with at least antrostomy. Caldwell-Luc's operation was additionally performed in 16 patients. There was a male predominance of 6:1. Seven suffered recurrences after the primary surgical procedure, none of the recurrences were associated with carcinoma. We did not see any serious side effects to the treatment. Endoscopic sinus surgery in combination with Caldwell-Luc can be recommended as an alternative treatment to lateral rhinotomy in patients with inverted papillomas. Preoperative staging with CT or MR-scanning, experienced surgeons, and a close follow-up period of five years must be recommended.