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[Endoscopic surgery for maxillary sinus inverted papilloma].

Liqiang Zhang1, Xuezhong Li1, Li Shi1

  • 1Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Ji'nan 250012, China.

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|December 10, 2014
PubMed
Summary
This summary is machine-generated.

Endoscopic surgery offers a safe and effective treatment for maxillary sinus inverted papilloma. Careful surgical approach selection and tumor base management are key to successful outcomes and minimizing recurrence.

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Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Endoscopic Sinus Surgery

Background:

  • Maxillary sinus inverted papilloma is a benign tumor with a high recurrence rate.
  • Surgical management is the primary treatment modality for inverted papillomas.
  • Endoscopic techniques have emerged as a less invasive surgical option.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic surgery for maxillary sinus inverted papilloma.
  • To assess the recurrence rates and complications associated with this surgical approach.

Main Methods:

  • A retrospective study of 50 patients with maxillary sinus inverted papilloma treated between 2000 and 2011.
  • Patients underwent intranasal endoscopic surgery or a combined approach, with approach selection based on lesion characteristics.
  • Follow-up ranged from 3 to 14 years.

Main Results:

  • A total of 7 recurrences were observed, all within 2 years post-surgery.
  • One case of malignant transformation and death occurred.
  • Postoperative complications included epiphora, fistula, facial numbness, and hemorrhage, all successfully managed.

Conclusions:

  • Naso-endoscopic surgery or combined approach is a safe, effective, and minimally invasive treatment for maxillary sinus inverted papilloma.
  • Accurate selection of the surgical approach and meticulous management of the tumor base are crucial for successful outcomes.