Inverted papillomas of the nose and sinuses: clinical presentations, surgical treatment and outcome

ABSTRACT

To find the outcome of surgical management of inverted papillomas of the nose and paranasal sinuses. Case series. At Fatima Hospital Baqai Medical University and Usman Memorial Hospital Karachi, from June 2000 to July 2006. A total of 17 cases of inverted papillomas presented to us during the last six years, were managed and the outcome of their surgical treatment was reviewed retrospectively. Out of 17 cases 13 were male and 4 females. All the cases presented with unilateral nasal obstruction. Lateral rhinotomy and medial maxillectomy were the standard surgical procedure adopted for complete excision of the lesion. Two cases had wound infection, one with depressed ipsilateral facial deformity. In two cases recurrence occurred in the post-operative period. Wide surgical excision is the primary treatment modality of inverted papilloma to minimize the incidence of recurrence. Radiation therapy should only be considered in patients with incompletely respectable lesions, multiple recurrent lesions and tumours associated with malignancy