Surgical management of frontal sinus inverted papilloma: A systematic review

Abstract

The recent reported literature of FS IP demonstrates high prevalence of recurrent and bilateral cases. Although statistical analysis of this accrued data is unable to delineate the best surgical approach for FS IP, more aggressive approaches frequently employed for secondary or bilateral disease may facilitate better disease control.

The place of the osteoplastic flap in the endoscopic era: Indications and pitfalls

“…The osteoplastic flap (OPF) is one such procedure due to its continued use brought on by limitations of the minimally invasive approach. There have only been a handful of studies looking at the OPF over the past 10 years, and only two that include more than 20 total patients . The vast majority of these studies look at a specific pathology and then evaluate the surgical techniques utilized, including both endoscopic and open approaches.…”

Early Practice

“…A narrow frontal recess, type 4 frontal cells, and pathologic abnormality in the lateral or superior aspects of the sinus can often remain out of reach for endoscopic frontal instruments. [10][11][12] In addition, neoosteogenesis of the frontal recess, previous trauma, severe frontal recess stenosis, and frontal bone osteomyelitis may necessitate an external approach. 12 Two open techniques, frontal sinus trephination and the OPF, remain viable adjuncts to endoscopic sinus surgery for the frontal sinus.…”

Inverted Papilloma: A Review and What's New

“…Resection of frontal sinus IPap depends on the ability to visualize the lesion endoscopically. 27 Frontal sinus attachment sites not often accessible endoscopically and an osteoplastic flap may be necessary (possibly in a staged fashion). Medial attachment sites in the frontal sinus require endoscopic trans-septal frontal sinusotomy (median drainage procedure), in which the floors of the frontal sinuses and intersinus septum are removed.…”