Endoscopic surgery for maxillary sinus inverted papilloma
10.3760/cma.j.issn.1673-0860.2014.09.005
- VernacularTitle:上颌窦内翻性乳头状瘤的鼻内镜外科治疗
- Author:
Liqiang ZHANG
1
;
Xuezhong LI
;
Li SHI
;
Xiaolan CAI
;
Ping YE
;
Xin FENG
;
Xinliang PAN
Author Information
1. 山东大学齐鲁医院耳鼻咽喉科
- Keywords:
Maxillary sinus neoplasms;
Papilloma,inverted;
Endoscopy;
Otorhinolaryngologic surgical procedures;
Anterior lacrimal recess
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(9):721-725
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of endoscopic surgery for maxillary sinus inverted papilloma.Methods From 2000 to 2011,50 patients with maxillary sinus inverted papilloma were treated with intranasal endoscopic surgery or combined approach.Among them,39 cases were primary and 11 cases were recurrent,which included 17 patients with Krouse stage Ⅱ and 33 cases with Krouse stage Ⅲ.Different surgical approaches were selected according to the range and positions of the lesions.One case with severe atypical hyperplasia received postoperative radiotherapy.Results All cases were followed up for 3-14 years,7 cases recurred.All occurrence within 2 years after operation.Malignant change and death was found in 1 case.After operation,epiphora occurred in 2 cases,maxillary sinus labiogingival groove fistula occurred in 2 cases,facial numbness occurred in 4 cases and incision hemorrhage occurred in 1 case.All the complications were cured after appropriate treatment.Conclusions Naso-endoscopic surgery or combined approach is a safe,effective and microinvasive treatment for patients with maxillary sinus inverted papilloma.Accurate selection of suitable approach according to the range and positions of the lesions and correct management of the base of the tumor are critical to the success of the operation.
