A Clinical Study of Inverted Papilloma in the Nasal Cavity and Paranasal Sinuses

• Misawa Hayato

  Department of Otolaryngology, Graduate School of Medicine, Nagoya University

• Nakata Seiichi

  Department of Otolaryngology, Graduate School of Medicine, Nagoya University

• Uchida Yasue

  Department of Otolaryngology, Chubu National Hospital

• Furuta Toshiaki

  Department of Otolaryngology, The Kariya General Hospital

• Nakashima Tsutomu

  Department of Otolaryngology, Graduate School of Medicine, Nagoya University

Bibliographic Information

Other Title

• 鼻副鼻腔内反性乳頭腫の臨床的検討

Abstract

We conducted a retrospective clinical study of inverted papilloma in the nose and paranasal sinuses in 26 cases (28 sides) of inverted papilloma in the last 10 years. The subjects were 17 men and 9 women with a mean age of 54.6 years. Follow-up averaged 11 months to 10.4 years with a mean of 69.4 months (5.8 years) . Surgical excision is generally regarded as the treatment of choice for papilloma, however, the approach and extent of surgery have been much debated. We clarified the relationship between surgical invasion and disease recurrence. Six of 28 sides developed recurrence (21.4%), none developed malignant transformation, and 2 of 26 cases (7.7%) were diagnosed as with bilateral papillomas. In the endoscopic group, 2 of 8 cases (25.0%) recurred, compared to 4 of 20 cases (20.0%) in the non-endoscopic group. The amount of blood lost was significantly smaller in the endoscopic group. All 8 cases with aggressive endoscopic resection manifested no recurrence and minimum blood loss. We concluded that aggressive endoscopic resection is the best treatment in terms of recurrence rate and surgical invasion. In general, this approach is preferable for tumors in the nasal cavity or in those localized with a clear endoscopic view in the paranasal sinuses.

Journal

• Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology)

  Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 42 (2), 106-112, 2003

  Japan Rhinologic Society

Keywords

• papilloma
• endoscopic sinus surgery
• treatment
• nasal cavity
• paranasal sinus

Details

• CRID: 1390282679714129536
• NII Article ID: 130003720670
• NII Article ID: 10011758536
• NII Book ID: AN00062865
• DOI: 10.7248/jjrhi1982.42.2_106
• ISSN: 18837077
• ISSN: 09109153
• ISSN: http://id.crossref.org/issn/09109153
• Web Site: https://search.jamas.or.jp/link/ui/2004156154
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed