Outcomes of Endoscopic Surgical Treatment in 41 Cases Nasal and Sinus Inverted Papilloma / 대한이비인후과학회지

ABSTRACT

BACKGROUND AND OBJECTIVES: Many investigators had argued that aggressive surgical treatments such as medial maxillectomy with external or transantral ethmoidectomy are proper for inverted papilloma. However, lately, many investigators reported that more extended endoscopic surgery could be applied to the field of nasal disease. We evaluated the usefulness of endoscopic endonasal surgery for treatment and follow up of inverted papilloma. MATERIALS AND METHODS: Forty-one patients diagnosed with inverted papilloma in our clinic have undertaken endoscopic sinus surgery from 1992 through 1996. All the patients who were treated endoscopically have had their disease followed for a minimum of 1 year, with an average of 3 years. RESULTS: Six cases (14.6%) showed recurrence. Among them, 2 cases showed recurrence six times during the follow-up period, and endoscopic surgery was done each time until finally cured. There is no case related with malignant change in pathology. CONCLUSION: We conclude that endoscopic procedure is useful for preoperative examination, postoperative recurrence follow-up and treatment of both limited and recurrent inverted papilloma.