[Inverted papilloma of the nose and paranasal sinuses]

Inverted papilloma of the nose and paranasal sinuses is an unusual benign neoplasm that has the propensity for local tissue destruction and an association with malignant degeneration. The tumor represents an inverted growth of epithelium rather than outward proliferation. Surgical excision is the recommended treatment though the aggressiveness of the approach has varied. Transkanal local excision has been associated with a high recurrence rate. Lateral rhinotomy with removal of the lateral nasal wall and wide local excision has a low recurrence rate and has been recommended treatment by most authors since 1975. We present series of 18 patients treated over eleven years period. All patients underwent lateral rhinotomy. The recurrence rate in our group is 0% with a mean 4, 2 years follow-up.