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Inverted papilloma.

M C Weissler, W W Montgomery, P A Turner

    The Annals of Otology, Rhinology, and Laryngology
    |May 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

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    This study reviewed 223 inverted papilloma cases, noting an increase over time. Lateral rhinotomy is recommended for surgical treatment, with radiotherapy as an adjunct for complex cases.

    Area of Science:

    • Otolaryngology
    • Head and Neck Surgery
    • Pathology

    Background:

    • Inverted papilloma (IP) is a sinonasal tumor with a controversial classification.
    • Understanding its clinical behavior and optimal management is crucial for patient outcomes.

    Purpose of the Study:

    • To review a large cohort of inverted papilloma cases over 35 years.
    • To analyze presenting symptoms, association with carcinoma, and treatment outcomes.
    • To advocate for a unified clinical grouping of inverted papilloma.

    Main Methods:

    • Retrospective review of 223 inverted papilloma cases.
    • Analysis of presenting signs and symptoms.
    • Evaluation of surgical (lateral rhinotomy vs. lesser procedures) and radiographic treatment outcomes.

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  • Assessment of radiotherapy as an adjunct therapy.

    • Main Results:

    • A steady increase in inverted papilloma cases was observed over 35 years.
    • Lateral rhinotomy demonstrated fewer recurrences and better cure rates compared to less extensive surgeries.
    • Radiotherapy proved effective for malignant or recurrent/inoperable cases.

    Conclusions:

    • A unified clinical grouping for all inverted papilloma subtypes and locations is proposed.
    • Lateral rhinotomy should be considered the standard surgical approach.
    • Radiotherapy is a valuable adjunct for specific complex cases.
    • Lifelong follow-up is recommended for all patients with inverted papilloma.