Endoscopic management of inverted papillomas of the nose and paranasal sinuses.

We performed endoscopic resection on six patients who had inverted papillomas of the nasal cavity. Disease was completely cleared in four patients after a single procedure, while two others--both of whom had bilateral disease--required repeat surgery. At follow-up, which ranged from 6 months to 5 years, all patients were disease-free. We believe that endoscopic surgery is ideally suited for the treatment of appropriately selected patients who have limited disease and who are likely to adhere conscientiously to a regular follow-up program.