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Atypical Sinonasal Inverted Papilloma - A Case Report
R Mahesh Kumar1, S Varsha1, K R Ashok Kumar1
1Department of Oral and Maxillofacial Surgery, Sri Siddhartha Dental College and Hospital, Tumakuru, Karnataka, India.
Rationale:
Sinonasal tumours are rare occurrences accounting for 3-4% of tumours (benign/malignant/co-existing) in the head-and-neck region, making it difficult to render an absolute diagnosis and treatment, thereof keeping in mind the tumour presentation and quality of life of the patient.
Patient Concerns:
The patient reported with complaints of swelling over the right side of the face associated with recent onset of pain in the same region.
Diagnosis:
Upon clinical, radiographic and histopathological examination, it was diagnosed as right Sinonasal inverted papilloma (SNIP).
Treatment:
The clinicians in the study approached the SNIP by opting for tumour resection with subtotal maxillectomy and reconstruction using a prosthetic obturator.
Outcomes:
Patient was operated and relived of the pathology and followed up for 18 months. She is now taken up for prosthetic rehabilitation.
Take-Away Lessons:
The authors advocate the choice for open surgeries in cases where minimally invasive techniques do not meet the needs of desired results.
