Management of inverted papillomas of the nose and paranasal sinuses

Peng, Phyllis; Har-El, Gady

doi:10.1016/j.amjoto.2005.11.005

« Previous Next »American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 27, Issue 4 , Pages 233-237, July 2006

Management of inverted papillomas of the nose and paranasal sinuses

Presented at the Sixth International Conference on Head and Neck Cancer, August 7-11, 2004, Washington, DC.

Department of Otolaryngology, SUNY Downstate Medical Center, Brooklyn, NY, USA

Abstract

Purpose

Inverted papillomas (IPs), although histologically benign, are aggressive lesions that may recur after an excision. The objective of this study was to compare the surgical treatment options for IPs with an emphasis on the experience of our institution with midfacial degloving (MFD) and medial maxillectomy.

Materials and Methods

A retrospective review of the charts of patients with IP treated by MFD and medial maxillectomy was performed. An analysis of the recurrence rates of IPs in the literature for endoscopic surgery and lateral rhinotomy was also performed.

Results

Ninety-eight medial maxillectomy procedures via MFD were performed for IPs with a minimum of 2 years' follow-up (median = 5.1 years). Two patients were found to have recurrences (2.1%). The literature review revealed an average recurrence rate of 15.7% for lateral rhinotomy as compared with that of 19.6% for endoscopic surgery.

Conclusion

Midfacial degloving balances acceptable cosmetic results with low recurrence rates. It allows for adequate exposure and resection without the scar of a lateral rhinotomy incision.