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Conservative endoscopic surgery in inverted papilloma. Preliminary report
1Department of Otolaryngology-Head and Neck Surgery, Cairo University, Egypt.
Archives of Otolaryngology--Head & Neck Surgery
|June 1, 1992
Summary
Conservative endoscopic surgery can effectively treat limited inverted papillomas without recurrence. This approach offers a less invasive option for select sinonasal tumors, avoiding more extensive procedures.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Endoscopic Sinus Surgery
Background:
- Inverted papilloma (IP) frequently recurs and can be associated with malignancy.
- Traditional treatment often involves lateral rhinotomy due to recurrence risks.
- Conservative surgical options are effective in select cases.
Observation:
- Three cases of unilateral, localized inverted papilloma were treated using endoscopic control.
- These lesions had limited sinonasal extension and no malignancy or recurrence.
- Total tumor removal was achieved via a conservative intranasal endoscopic approach.
Findings:
- Endoscopic follow-up (12-39 months, average 23 months) showed no recurrence in any case.
- The conservative endoscopic approach facilitated complete excision of the limited IP lesions.
- Histopathologic examination confirmed the nature of the tumors and absence of malignancy.
Implications:
- Endoscopic surgery is a feasible and effective treatment for limited inverted papillomas.
- This minimally invasive technique may be a viable alternative to lateral rhinotomy for select patients.
- Further studies can validate this approach for broader application in IP management.