Endoscopic Surgery of Inverted Papillomas under Image Guidance—A Prospective Study of 42 Consecutive Cases at a Danish University Clinic

Buchwald, Christian von; Larsen, Anders

doi:10.1016/j.otohns.2005.01.016

Cited by 41 publications

(43 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The aim is thorough excision combined with minimal treatment morbidity. In unselected longitudinal series with inverted papilloma the recurrence rate is found to be 0-25% with a minimal treatment morbidity and, interestingly, with no reported cases of malignant transformation [15][16][17]. The same surgical procedures have recently been introduced in the clinic in the treatment of selected malignant sinonasal lesions including inverted papilloma with SCC.…”

Section: Treatmentmentioning

confidence: 98%

“…Parallel with this, the risk of malignant transformation (metachronous lesion) should be reduced when complete excision is achieved. Traditional surgical procedures comprising external approaches like lateral rhinotomy and midfacial degloving have more or less been substituted by minimally invasive procedures using combinations of endoscopy, image guidance and powered instrumentation [15][16][17]. The aim is thorough excision combined with minimal treatment morbidity.…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Risks of malignancy in inverted papilloma of the nose and paranasal sinuses

Buchwald

Bradley

2007

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

Self Cite

112

106

View full text Add to dashboard Cite

Based on the literature, the rates of synchronous and metachronous carcinoma are 7.1 and 3.6%, respectively, although rates may be exaggerated due to a referral bias to tertiary centres. A thorough removal of all diseased mucosa is curative and a meticulous histological examination of the entire specimen is necessary. The working risk is approximately 10%. Recurrent disease and metachronous carcinoma can develop after a prolonged period of time. As most recurrences are due to incomplete resection, it is mandatory to perform a close follow-up, with biopsies performed when indicated. Life-long follow-up is recommended.

show abstract

Section: Treatmentmentioning

confidence: 98%

Section: Treatmentmentioning

confidence: 99%

Risks of malignancy in inverted papilloma of the nose and paranasal sinuses

Buchwald

Bradley

2007

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

Self Cite

112

106

View full text Add to dashboard Cite

show abstract

“…The piecemeal approach, inherent with endoscopic surgery, could be acceptable because what is most important is to identify and widely remove the site of attachment (Han et al, 2001;Kraft et al, 2003). Recently, the use of navigation systems for endoscopic removal of IP has been reported (Von Buchwald and Larsen, 2005) but recurrences were still reported.…”

Section: Surgerymentioning

confidence: 99%

Inverted papilloma of paranasal sinuses

Eggers

Mühling

Haßfeld

2007

Journal of Cranio-Maxillofacial Surgery

118

View full text Add to dashboard Cite

“…Nowadays, endoscopic sinus surgery is the best treatment option for initial and even more advanced papillomas. Contraindications of endoscopic surgery include the presence of squamous cell carcinoma, intradural or orbital extension [18][19][20][21] . In our study, most cases, staged as Stage III Krouse, were treated by endoscopic surgery by medial maxillectomy and sometimes followed by anterior and posterior ethmoidectomy.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic approach of sinonasal inverted papilloma – our 15 years’ experience on 162 cases

Budu¹,

Schnaider²,

Bulescu

2015

Romanian Journal of Rhinology

View full text Add to dashboard Cite

BACKGROUND. Inverted papilloma is a benign tumor of the nose and sinuses, with a high risk of recurrence and malignant degeneration. The inverted papilloma is a slow growing tumor that can be approached through an endoscopic or external approach, depending on its stage.OBJECTIVE. The aims of the study are to identify the particularities of diagnosis of the inverted papilloma, to establish the correct steps in surgical treatment of this tumor and to open the access for other steps of treatment.MATERIAL AND METHODS. The authors present their experience in managing the sinonasal inverted papilloma in a 15-year retrospective clinical study, which included 162 patients. The preoperative protocol consisted in clinical examination, nasal endoscopy, radiologic imaging (CT scan) and biopsy with histopathology results and immunohistochemistry findings. Surgical removal of the inverted papilloma was performed by endoscopic techniques, according to the stage of the tumor. We were interested in the recurrence rate of the tumor and its malignancy after a long-term follow-up.RESULTS. In our series, we included 162 patients and we had 26 (16.04%) recurrences and 12 (7.40%) malignant degenerations. All our patients were diagnosed in Krouse stages I, II and III and underwent endoscopic resection of the tumor.CONCLUSION. In order not to have any leftover tumor (the most important factor of recurrence and malignant transformation), it is mandatory to have a complete diagnosis of the inverted papilloma, a precise surgical technique and a rigorous followup. In some cases, the surgical treatment is associated with other type of treatment (antiviral, antiangiogenetic).

show abstract

Endoscopic Surgery of Inverted Papillomas under Image Guidance—A Prospective Study of 42 Consecutive Cases at a Danish University Clinic

Cited by 41 publications

References 15 publications

Risks of malignancy in inverted papilloma of the nose and paranasal sinuses

Risks of malignancy in inverted papilloma of the nose and paranasal sinuses

Inverted papilloma of paranasal sinuses

Endoscopic approach of sinonasal inverted papilloma – our 15 years’ experience on 162 cases

Contact Info

Product

Resources

About