Sinonasal Inverted Papilloma: A Narrative Review

Upadhya, Ila B; Rao, Kartika R.

doi:10.1007/s12070-020-02089-0

Cited by 3 publications

(5 citation statements)

References 29 publications

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“…Surgical excision remains the gold standard for managing SNIP. 7,10 The fundamental principle that should always be applied in every approach is the complete removal of the tumor, followed by removal of the mucoperiosteum, which is the origin of the tumor. The open surgical technique comprises medial maxillectomy (MM) with a lateral rhinotomy (LR) approach, midfacial degloving, Caldwell-Luc, and frontal osteoplastic flap.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic surgical approach of sinonasal inverted papilloma: A case report and mini review

Dayinta Grahitanindya,

Ida Bagus Gede Hendra Kusuma,

Ida Bagus Semara Putra

et al. 2024

GSC Adv. Res. Rev.

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Sinonasal inverted papilloma (SNIP) is a relatively rare benign tumor that occurs in 0.2-1.5 per 100.000 persons each year, comprising 0.5% - 4% of all sinonasal neoplasms. Despite being benign in nature, SNIP exhibits local aggressiveness due to its distinctive proliferation of metaplastic surface epithelium that undergoes inversion into the underlying stroma. Also, it carries a risk of malignant transformation. These characteristics thus emphasize the necessity for complete surgical excision as the primary treatment. A 50-year-old woman presented with sinonasal inverted papilloma classified as stage T2 according to Krouse staging, suitable for a less invasive endoscopic approach. However, CT scan revealed maxillary sinusitis. Adhering to SNIP management principles, a surgical excision through Endoscopic Sinus Surgery (ESS) followed by Endoscopic Modified Medial Maxillectomy (EMMM) or prelacrimal approach was chosen to provide better visualization of the anterior, lateral, posterior, inferior, and medial walls of the maxillary sinus. This approach aimed to preserve the inferior turbinate and nasolacrimal, avoiding postoperative lacrimation.

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Section: Discussionmentioning

confidence: 99%

“…Considerations based on the tumor's location, site of attachment, and extensions are crucial in choosing the most suitable surgical approach. 6,7 This study aimed to report a case of SNIP managed by combined endoscopic approaches and provide a mini-review of surgical strategies tailored to specific SNIP locations.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic surgical approach of sinonasal inverted papilloma: A case report and mini review

Dayinta Grahitanindya,

Ida Bagus Gede Hendra Kusuma,

Ida Bagus Semara Putra

et al. 2024

GSC Adv. Res. Rev.

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“…Interestingly, hyposmia is statistically significant between the two, which has not been mentioned in previous studies. Both IP and NP can occur due to conductive olfactory disturbance caused by nasal tract obstruction, which is manifested by a decrease in olfactory hormone molecules reaching the olfactory nerve epithelium, while IP can also occur due to the neurological olfactory disturbance caused by damage to the olfactory nerve or olfactory center, which is manifested by an oversized tumor squeezing the olfactory bundle or the mucosal receptors at the top of the nasal cavity, the upper nasal septum, and the medial aspect of the superior turbinate innervated by the olfactory nerve ( 22 ).…”

Section: Discussionmentioning

confidence: 99%

A new biomarker combining multimodal MRI radiomics and clinical indicators for differentiating inverted papilloma from nasal polyp invaded the olfactory nerve possibly

Yuan

Han

2023

Front. Neurol.

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Background and purposeInverted papilloma (IP) and nasal polyp (NP), as two benign lesions, are difficult to distinguish on MRI imaging and clinically, especially in predicting whether the olfactory nerve is damaged, which is an important aspect of treatment and prognosis. We plan to establish a new biomarker to distinguish IP and NP that may invade the olfactory nerve, and to analyze its diagnostic efficacy.Materials and methodsA total of 74 cases of IP and 55 cases of NP were collected. A total of 80% of 129 patients were used as the training set (59 IP and 44 NP); the remaining were used as the testing set. As a multimodal study (two MRI sequences and clinical indicators), preoperative MR images including T2-weighted magnetic resonance imaging (T2-WI) and contrast-enhanced T1-weighted magnetic resonance imaging (CE-T1WI) were collected. Radiomic features were extracted from MR images. Then, the least absolute shrinkage and selection operator (LASSO) regression method was used to decrease the high degree of redundancy and irrelevance. Subsequently, the radiomics model is constructed by the rad scoring formula. The area under the curve (AUC), accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the model have been calculated. Finally, the decision curve analysis (DCA) is used to evaluate the clinical practicability of the model.ResultsThere were significant differences in age, nasal bleeding, and hyposmia between the two lesions (p < 0.05). In total, 1,906 radiomic features were extracted from T2-WI and CE-T1WI images. After feature selection, using 12 key features to bulid model. AUC, sensitivity, specificity, and accuracy on the testing cohort of the optimal model were, respectively, 0.9121, 0.828, 0.9091, and 0.899. AUC on the testing cohort of the optimal model was 0.9121; in addition, sensitivity, specificity, and accuracy were, respectively, 0.828, 0.9091, and 0.899.ConclusionA new biomarker combining multimodal MRI radiomics and clinical indicators can effectively distinguish between IP and NP that may invade the olfactory nerve, which can provide a valuable decision basis for individualized treatment.

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“…While they can occur across a wide range of ages, these conditions are generally rare in children. 2 Despite the benign character there are three main reasons to remove the tumour. First, there is a risk of malignant transformation.…”

Section: Introductionmentioning

confidence: 99%

“…It primarily affects patients in their fifth to sixth decades of life, with a male‐to‐female ratio ranging from 2 to 3:1. While they can occur across a wide range of ages, these conditions are generally rare in children 2 . Despite the benign character there are three main reasons to remove the tumour.…”

Section: Introductionmentioning

confidence: 99%

Sinonasal inverted papilloma and predictors of health‐related quality of life after endonasal endoscopic surgery: A prospective cohort study

den Heijer,

Joustra,

Vermeulen

et al. 2024

Clinical Otolaryngology

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ObjectivesExisting knowledge on health‐related quality of life (HRQoL) after surgical removal of sinonasal inverted papilloma (IP) is limited. Moreover, predictors for a better or worse post‐operative HRQoL outcome are not known. Our aim was to assess HRQoL in all three health domains (physical, psychological, and social), track its post‐operative trajectory, investigate if pre‐operative observations could predict distinct post‐operative HRQoL outcomes, and evaluate whether physicians' interventions could contribute to improved post‐operative HRQoL.DesignProspective cohort study.SettingTertiary referral hospital.ParticipantsSeventy‐four patients who underwent surgery for an IP were included. They were asked to fill in the Endonasal Endoscopic Sinus and Skull‐Base Surgery Questionnaire (EES‐Q) pre‐operatively, and then 2 weeks, 3 months, and 1 year post‐operatively.Main Outcome MeasuresLinear mixed models analyses were performed to evaluate the overall post‐operative HRQoL and the separate health domains, as well as the impact of specific variables (sex, age, American Society of Anaesthesiologists [ASA] classification, smoker, Krouse staging, pre‐operative EES‐Q score, type of surgery, and post‐operative antibiotics) on HRQoL improvement.ResultsThe total EES‐Q score (p < .001) as well as the physical (p < .001), psychological (p = .049), and the social (p = .002) domains significantly improved post‐operatively. ASA classification (p = .049), pre‐operative EES‐Q score (p < .001) and post‐operative antibiotics (p = .036) were significant variables.ConclusionsOverall HRQoL, as well as each of the three health domains, improved significantly. A higher ASA score, a higher pre‐operative EES‐Q score, and the administration of post‐operative antibiotics were significant predictors for better HRQoL recovery post‐operatively. Further research is necessary to confirm these results.

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Sinonasal Inverted Papilloma: A Narrative Review

Cited by 3 publications

References 29 publications

Endoscopic surgical approach of sinonasal inverted papilloma: A case report and mini review

Endoscopic surgical approach of sinonasal inverted papilloma: A case report and mini review

A new biomarker combining multimodal MRI radiomics and clinical indicators for differentiating inverted papilloma from nasal polyp invaded the olfactory nerve possibly

Sinonasal inverted papilloma and predictors of health‐related quality of life after endonasal endoscopic surgery: A prospective cohort study

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