Management of sinonasal inverted papilloma: endoscopic approach and lateral rhinotomy.
- Author:
Hua-Lin WANG
1
;
Zhi-Hong LIN
;
Guo-Kang FAN
;
Hui-Min CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Endoscopy; Female; Humans; Male; Middle Aged; Nose; surgery; Nose Neoplasms; surgery; Otorhinolaryngologic Surgical Procedures; methods; Papilloma, Inverted; surgery; Paranasal Sinus Neoplasms; surgery; Retrospective Studies; Treatment Outcome
- From: Journal of Zhejiang University. Medical sciences 2007;36(2):196-203
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare endoscopic approach with lateral rhinotomy for treatment of the sinonasal inverted papilloma in terms of advantage, indications and limitations of the procedures.
METHODSEighty-six cases with inverted papilloma were reviewed retrospectively, among which 23 cases underwent transnasal endoscopic procedures including 10 combined with Caldwell-Luc intervention, and 63 cases underwent lateral rhinotomy. The follow-up period ranged from 11 - 36 m (mean 23 m). The data were processed statistically by SPSS 10.0 software.
RESULTBoth procedures permitted removal of most sinonasal inverted papilloma. The endoscopic surgery provided an excellent visualization, and preserved a vital anatomic structure and left no facial scar. Lateral rhinotomy was associated with postoperative facial scar or deformity. The recurrence rate in lateral rhinotomy group was 9.5% and in endoscopic approach was 13% (P >0.05).
CONCLUSIONEndoscopic approach is favored for the treatment of non-massively extending sinonasal inverted papilloma because of an acceptable recurrence and a better cosmetic results.
