Head & neck · 2010
Limitations and complications of endoscopic surgery for treatment for sinonasal inverted papilloma: a reassessment after 212 cases.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Lombardi Davide, Tomenzoli Davide, Buttà Laura, Bizzoni Andrea, Farina Davide, Sberze Federica, Karligkiotis Apostolos, Castelnuovo Paolo, Nicolai Piero
Аннотация
BACKGROUND: The purpose of this study was to define the optimal surgical strategy for sinonasal inverted papilloma in relation to the site of origin and tumor extent.
METHODS: Retrospective analysis of patients affected by inverted papilloma treated by purely endoscopic or combined approaches at the Department of Otorhinolaryngology of the University of Brescia and Pavia-Varese from November 1991 to December 2007.
RESULTS: Two hundred twelve patients were considered eligible for this study. An exclusive endoscopic approach was performed in 198 patients (93.4%); the remaining 14 patients (6.6%) underwent an endoscopic approach combined with an osteoplastic frontal flap. Follow-up ranged from 24 to 192 months (mean, 53.8 months). A single recurrence was observed in 12 patients (5.7%). Twenty complications (9.4%) were observed.
CONCLUSION: Endoscopic surgery is the first choice in the treatment of inverted papilloma; only lesions with extensive involvement of frontal sinus and/or supraorbital cell may require a combined approach. A minimum follow-up of 5 years is recommended.
METHODS: Retrospective analysis of patients affected by inverted papilloma treated by purely endoscopic or combined approaches at the Department of Otorhinolaryngology of the University of Brescia and Pavia-Varese from November 1991 to December 2007.
RESULTS: Two hundred twelve patients were considered eligible for this study. An exclusive endoscopic approach was performed in 198 patients (93.4%); the remaining 14 patients (6.6%) underwent an endoscopic approach combined with an osteoplastic frontal flap. Follow-up ranged from 24 to 192 months (mean, 53.8 months). A single recurrence was observed in 12 patients (5.7%). Twenty complications (9.4%) were observed.
CONCLUSION: Endoscopic surgery is the first choice in the treatment of inverted papilloma; only lesions with extensive involvement of frontal sinus and/or supraorbital cell may require a combined approach. A minimum follow-up of 5 years is recommended.
Предметные рубрики MeSH
AdultAged, 80 and overAnalysis of VarianceBiopsy, NeedleCohort StudiesEndoscopyFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMagnetic Resonance ImagingMaleMiddle AgedNeoplasm InvasivenessNeoplasm StagingOtorhinolaryngologic Surgical ProceduresPapilloma, InvertedParanasal Sinus NeoplasmsPostoperative ComplicationsPreoperative CarePlastic Surgery ProceduresRetrospective StudiesStatistics, NonparametricSurgical FlapsTime FactorsTreatment OutcomeYoung Adult