Exclusive Endoscopic Approach in the Management of Sinonasal Inverted Papilloma

Area of Science:

• Otolaryngology
• Neurosurgery
• Oncology

Background:

• Sinonasal inverted papilloma (SNIP) management has shifted towards less invasive endoscopic endonasal surgeries.
• Traditional open surgeries are being replaced by conservative endoscopic approaches for SNIP.

Purpose of the Study:

• To evaluate the experience and outcomes of endoscopic excision of SNIP in a tertiary care hospital.
• To compare the efficacy and complication rates of different endoscopic surgical approaches for SNIP.

Main Methods:

• Retrospective case series of 28 patients with SNIP treated between April 2017 and October 2020.
• Analysis of clinical, radiological, pathological, intraoperative, and postoperative data.
• Comparison of outcomes across various endoscopic surgical techniques.

Main Results:

• The study included 28 patients with SNIP (Krouse 2 and Krouse 3 classifications).
• Endoscopic modified Denker (11 patients), endoscopic medial maxillectomy (8 patients), and endoscopic sinus surgery (6 patients) were performed.
• Modified endoscopic approaches resulted in fewer complications than standard endoscopic procedures.

Conclusions:

• Endoscopic excision is a viable alternative to open surgery for SNIP, achieving complete disease clearance.
• The endoscopic approach is associated with a minimal complication rate.
• Further large-scale studies with long-term follow-up are warranted to fully understand the outcomes.