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Surgical management of inverted papilloma: approaching a new standard for surgery
Filippo Carta1, Jean-Philippe Blancal, Benjamin Verillaud
1Assistance Publique-Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France.
Background:
Inverted papilloma surgery is currently performed primarily with an endoscopic approach, a technique that has a recurrence rate of 12%. However, a recent study reported a recurrence rate of 5% with a strategy based on subperiosteal dissection of the tumor, with limited indications for using an external approach. The aim of this work was to evaluate whether different teams using the same surgical concepts could reproduce the excellent results that were recently reported.
Methods:
This study is a retrospective chart review of 71 consecutive patients with inverted papilloma who were treated during the last 10 years.
Results:
In all, 80% of the patients were treated using a purely endoscopic approach. The mean follow-up period was 31.6 months. The recurrence rate was 3.3% for cases with at least a 12-month follow-up.
Conclusions:
This work confirms the results described in recent literature and further supports transnasal endoscopic surgery to manage inverted papilloma.
Insights
Transnasal endoscopic surgery for inverted papilloma shows a low recurrence rate of 3.3%. This minimally invasive approach confirms recent findings and supports its use in managing inverted papilloma effectively.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Endoscopic surgery for inverted papilloma has a historical recurrence rate of 12%.
- A recent strategy utilizing subperiosteal dissection reported a 5% recurrence rate.
- Limited indications for external approaches were noted in prior studies.
Purpose of the Study:
- To evaluate the reproducibility of excellent results reported for inverted papilloma surgery.
- To assess if different surgical teams could achieve similar outcomes using established endoscopic concepts.
Main Methods:
- Retrospective chart review of 71 consecutive inverted papilloma patients.
- Analysis of treatment outcomes over a 10-year period.
- Focus on patients treated with transnasal endoscopic surgery.
Main Results:
- 80% of patients underwent a purely endoscopic surgical approach.
- The mean follow-up duration was 31.6 months.
- A recurrence rate of 3.3% was observed in patients with at least a 12-month follow-up.
Conclusions:
- The study confirms excellent outcomes previously reported in literature for inverted papilloma management.
- Transnasal endoscopic surgery is further supported as a primary treatment modality.
- Minimally invasive endoscopic techniques demonstrate efficacy in reducing recurrence rates.
