Inverted papilloma of frontal sinus with intracranial extension

Mohan, Sharad; Nair, Satish; Sharma, Manish; Nilakantan, Ajith; Malik, Akshat

doi:10.1016/j.mjafi.2013.10.009

Cited by 3 publications

(3 citation statements)

References 8 publications

(8 reference statements)

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“…Inverted papilloma with intracranial extension is a rare finding with only 17 cases described in English literature and is usually seen in recurrent cases 1112 . Anterior cranial fossa invasion occurs after destruction of the posterior table of frontal sinus or the roof of the nasal cavity.…”

Section: Discussionmentioning

confidence: 99%

“…Anterior cranial fossa invasion occurs after destruction of the posterior table of frontal sinus or the roof of the nasal cavity. Data from the literature suggest that this uncommon condition can be effectively managed by craniofacial resection (CFR) 1112 . Although no cases in our series required such an aggressive approach, this surgical option has been included within the rationale for management of these challenging tumours (Fig.…”

Section: Discussionmentioning

confidence: 99%

“…In case of massive involvement of the frontal sinus, particularly when highly pneumatised, an osteoplastic flap (OPF) using a bicoronal approach was planned. Inverted papillomas encroaching and possibly crossing the anterior or posterior bony wall of the frontal sinus, with intracranial extension or subcutaneous involvement, or inverted papillomas associated with squamous cell carcinoma, should be treated using traditional transcranial approaches (Riedel’s technique and its modifications or classic craniofacial resection) 1112 . The practical algorithm used to plan the surgical resection is summarised in Figure 1.…”

Section: Methodsmentioning

confidence: 99%

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Surgical management of inverted papilloma involving the frontal sinus: a practical algorithm for treatment planning

Pietrobon

Karligkiotis

Turri‐Zanoni

et al. 2019

Acta Otorhinolaryngol Ital

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SUMMARY Inverted papilloma of the frontal sinus is a challenging disease. Given its rarity, only small case series are present in the literature. The objectives of the present study are to review our experience in the surgical management of inverted papillomas involving the frontal sinus and to propose a practical algorithm for selecting the most appropriate approach. Data on patients affected by inverted papilloma involving the frontal sinus and surgically treated between 2002 and 2016 were collected. The type of involvement of frontal sinus and extent of surgery performed (endoscopic endonasal, external or combined approaches) were analysed. A brief review of consistent literature was also carried out. Forty-seven consecutive patients were treated using an exclusive endoscopic endonasal approach (EEA) in 18 cases, while a combined endonasal with external osteoplastic approach was required in 29 cases. Most patients (29/47, 62%) had been treated previously, mainly by an endoscopic approach. A single intraoperative complication occurred (1/47, 2%), i.e. cerebrospinal fluid (CSF) leak, that was successfully repaired intraoperatively without any consequences. Recurrences were observed in only 2/47 cases (4%) after a mean follow-up of 43 months (range, 12-137). The management of inverted papilloma involving the frontal sinus requires great expertise and the surgical technique should be tailored to the site of attachment of the tumour, its extension and the anatomical conformation of each frontal sinus. The encouraging results obtained in this case series support the use of this practical treatment algorithm.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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