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Published on: January 17, 2018
Inverted papilloma involving the frontal sinus: a management plan
Ahmed Eweiss1, Ali Al Ansari, Mohamed Hassab
1Department of Otolaryngology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. azews@yahoo.com
Summary
Inverted papilloma of the frontal sinus requires a tailored surgical approach. Endoscopic resection is effective for minor expansion, but extensive mucosal involvement necessitates an osteoplastic flap for complete tumor removal.
Area of Science:
- Otolaryngology
- Neurosurgery
- Oncology
Background:
- Inverted papilloma is a benign, locally aggressive sino-nasal tumor.
- Frontal sinus involvement presents a significant surgical challenge.
Purpose of the Study:
- To propose a management scheme for inverted papilloma involving the frontal sinus.
- To evaluate surgical outcomes based on tumor extent.
Main Methods:
- Retrospective review of inverted papilloma cases operated between July 1995 and June 2008.
- Identification of patients with frontal sinus involvement.
- Analysis of treatment approaches (endonasal endoscopic resection, osteoplastic flap) and outcomes.
Main Results:
- Four out of 34 inverted papilloma patients (11.76%) had frontal sinus involvement.
- Three patients with ethmoid expansion treated endoscopically had no recurrence.
- One patient with massive mucosal involvement recurred after endoscopic resection and required an osteoplastic flap.
Conclusions:
- A clear management strategy is crucial for frontal sinus inverted papilloma.
- Endoscopic resection is suitable for tumors expanding into the sinus.
- Osteoplastic flap is recommended for tumors with significant mucosal involvement to ensure complete resection.
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