Manangement of inverted papilloma in frontal sinus
10.3321/j.issn:1673-0860.2008.08.006
- VernacularTitle:额窦区域内翻性乳头状瘤的手术治疗
- Author:
Rong-Guang WANG
1
;
Hu YUAN
;
Lei LEI
;
Hong-Tian WANG
Author Information
1. 解放军总医院
- Keywords:
Frontal sinus;
Papilloma,inverted;
Endoscopy;
Otorhinolaryngologic surgical procedures
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2008;43(8):586-590
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce the experience of management of inverted papilloma in frontal sinus in hospital. Methods Six patients with inverted papilloma in frontal sinus treated between 1999 and 2006 were reported, with special emphasis on the clinical symptoms, surgical technique and prognosis. Results Among 6 patients with frontal sinus involvement, there were 5 males and 1 female, aged between 24 and 66 years. All 6 patients were managed with endoscopic resection and additional open approach (giabellar nasal keyhole approach). Follow-up ranged from 2 - 8 years. Five patients treated with this protocol remained disease free, and 1 patient died of tumor recurrence and malignant degeneration 16 years after the first surgical management of sinonasal inverted papilloma. Conclusions The appropriate management of inverted papilloma involving the frontal sinus is combined open/endoscopic approach. The tumor extended into the lateral, far superior, and anterior aspects of the frontal sinus is truly at the limits of current endoscopic instrumentation. In order to avoid recurrence, the tumor must be reseeted completely during the operation. Postoperative radiotherapy is not absolutely necessary.
