BACKGROUND: The purpose of this study was to define the optimal surgical strategy for sinonasal inverted papilloma in relation to the site of origin and tumor extent. METHODS: Retrospective analysis of patients affected by inverted papilloma treated by purely endoscopic or combined approaches at the Department of Otorhinolaryngology of the University of Brescia and Pavia-Varese from November 1991 to December 2007. RESULTS: Two hundred twelve patients were considered eligible for this study. An exclusive endoscopic approach was performed in 198 patients (93.4%); the remaining 14 patients (6.6%) underwent an endoscopic approach combined with an osteoplastic frontal flap. Follow-up ranged from 24 to 192 months (mean, 53.8 months). A single recurrence was observed in 12 patients (5.7%). Twenty complications (9.4%) were observed. CONCLUSION: Endoscopic surgery is the first choice in the treatment of inverted papilloma; only lesions with extensive involvement of frontal sinus and/or supraorbital cell may require a combined approach. A minimum follow-up of 5 years is recommended.
BACKGROUND: The purpose of this study was to define the optimal surgical strategy for sinonasal inverted papilloma in relation to the site of origin and tumor extent. METHODS: Retrospective analysis of patients affected by inverted papilloma treated by purely endoscopic or combined approaches at the Department of Otorhinolaryngology of the University of Brescia and Pavia-Varese from November 1991 to December 2007. RESULTS: Two hundred twelve patients were considered eligible for this study. An exclusive endoscopic approach was performed in 198 patients (93.4%); the remaining 14 patients (6.6%) underwent an endoscopic approach combined with an osteoplastic frontal flap. Follow-up ranged from 24 to 192 months (mean, 53.8 months). A single recurrence was observed in 12 patients (5.7%). Twenty complications (9.4%) were observed. CONCLUSION: Endoscopic surgery is the first choice in the treatment of inverted papilloma; only lesions with extensive involvement of frontal sinus and/or supraorbital cell may require a combined approach. A minimum follow-up of 5 years is recommended.
Authors: Smita Upadhyay; Ricardo L L Dolci; Lamia Buohliqah; Mariano E Fiore; Leo F S Ditzel Filho; Daniel M Prevedello; Bradley A Otto; Ricardo L Carrau Journal: J Neurol Surg B Skull Base Date: 2015-09-09
Authors: Giant C Lin; Sarah Akkina; Steven Chinn; Mark E Prince; Jonathan B McHugh; Thomas Carey; Mark A Zacharek Journal: J Neurol Surg B Skull Base Date: 2014-02-17
Authors: Jonathan C Kopelovich; Meredith S Baker; Andrea Potash; Lajja Desai; Richard C Allen; Eugene H Chang Journal: Ann Otol Rhinol Laryngol Date: 2014-06-18 Impact factor: 1.547
Authors: Giant C Lin; Adam Scheel; Sarah Akkina; Steven Chinn; Martin Graham; Christine Komarck; Heather Walline; Jonathan B McHugh; Mark E Prince; Thomas E Carey; Mark A Zacharek Journal: Int Forum Allergy Rhinol Date: 2013-08-26 Impact factor: 3.858