Limitations and complications of endoscopic surgery for treatment for sinonasal inverted papilloma: a reassessment after 212 cases.
Articolo
Data di Pubblicazione:
2011
Abstract:
BACKGROUND: The purpose of this study was to define the optimal surgical strategy
for sinonasal inverted papilloma in relation to the site of origin and tumor
extent.
METHODS: Retrospective analysis of patients affected by inverted papilloma
treated by purely endoscopic or combined approaches at the Department of
Otorhinolaryngology of the University of Brescia and Pavia-Varese from November
1991 to December 2007.
RESULTS: Two hundred twelve patients were considered eligible for this study. An
exclusive endoscopic approach was performed in 198 patients (93.4%); the
remaining 14 patients (6.6%) underwent an endoscopic approach combined with an
osteoplastic frontal flap. Follow-up ranged from 24 to 192 months (mean, 53.8
months). A single recurrence was observed in 12 patients (5.7%). Twenty
complications (9.4%) were observed.
CONCLUSION: Endoscopic surgery is the first choice in the treatment of inverted
papilloma; only lesions with extensive involvement of frontal sinus and/or
supraorbital cell may require a combined approach. A minimum follow-up of 5 years
is recommended.
for sinonasal inverted papilloma in relation to the site of origin and tumor
extent.
METHODS: Retrospective analysis of patients affected by inverted papilloma
treated by purely endoscopic or combined approaches at the Department of
Otorhinolaryngology of the University of Brescia and Pavia-Varese from November
1991 to December 2007.
RESULTS: Two hundred twelve patients were considered eligible for this study. An
exclusive endoscopic approach was performed in 198 patients (93.4%); the
remaining 14 patients (6.6%) underwent an endoscopic approach combined with an
osteoplastic frontal flap. Follow-up ranged from 24 to 192 months (mean, 53.8
months). A single recurrence was observed in 12 patients (5.7%). Twenty
complications (9.4%) were observed.
CONCLUSION: Endoscopic surgery is the first choice in the treatment of inverted
papilloma; only lesions with extensive involvement of frontal sinus and/or
supraorbital cell may require a combined approach. A minimum follow-up of 5 years
is recommended.
Tipologia CRIS:
Articolo su Rivista
Elenco autori:
Lombardi, D.; Tomenzoli, D.; Buttà, L.; Bizzoni, A.; Farina, D.; Sberze, F.; Karligkiotis, A.; Castelnuovo, PAOLO GIOCONDO MARIA; Nicolai, P.
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