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Surgery of inverted papillomas under endoscopic control
B Bertrand1, P Eloy, M Jorissen
1ENT Department Head and Neck Surgery, UCL de Mont-Godinne, Yvoir, Belgium. bernard.bertrand@orlo.ucl.ac.be
Acta Oto-Rhino-Laryngologica Belgica
|July 13, 2000
Summary
Endoscopic resection is an effective and safe treatment for nasal and paranasal sinus papillomas, including inverted papillomas. Close endoscopic follow-up is crucial for long-term management and early detection of recurrence.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Rhinology
Background:
- Nasal and paranasal sinus papillomas are benign tumors with a potential for recurrence and malignant transformation.
- Endoscopic surgical resection has emerged as a minimally invasive approach for these tumors.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic surgical resection for nasal and paranasal sinus papillomas.
- To assess recurrence rates and outcomes, including malignant transformation.
Main Methods:
- Retrospective study of 87 cases of papilloma resections (1991-2000) across six centers.
- Focus on 85 cases of Inverted Papilloma (IP), 2 Exophytic Papilloma (EP), and 1 combined IP/CCP.
- Utilized CT and MRI for tumor assessment and surgical planning.
Main Results:
- Fifteen recurrences of IP were observed, treated with revision surgery (endoscopic or external).
- Three cases of IP showed malignant transformation, managed with radiation therapy.
- Mean follow-up was 41.9 months; most patients were recurrence-free, though some follow-ups were short.
Conclusions:
- Endoscopic resection is an efficient and safe method for treating nasal and paranasal sinus papillomas.
- Radical excision with endoscopic control, potentially combined with other approaches, is recommended.
- Long-term endoscopic surveillance by trained surgeons is essential for managing Inverted Papilloma.