The role of endoscopic surgery in the treatment of nasal inverted papilloma

Revista Brasileira de Otorrinolaringologia

Constantino, Guilherme de Toledo Leme¹  USP¹  Romano, Fabrízio R.¹  Voegels, Richard L.¹  Abdo, Tatiana T.¹  Butugan, Ossamu¹ 

关键词: endoscopic sinus surgery;    inverted papilloma;    recurrence.;   

DOI  :  10.1590/S0034-72992007000100011

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

The inverted papilloma is a benign neoplasm, prone to malignancy, and bearing a high rate of post-op recurrence. There is much debate in the literature concerning the issue that an endoscopic approach may offer a benefit over an external approach. AIM: Demonstrate the efficacy of an endonasal endoscopic approach in the treatment of inverted papilloma. STUDY DESIGN: Retrospective. MATERIALS AND METHODS: Retrospective analysis of patients with inverted papilloma operated at the University Hospital - FMUSP from 1994 to 2004. RESULTS: Twenty-eight patientsÂ’ records were studied. Nine patients (32.1%) had tumor recurrence, one being operated via the endoscopic method and eight by external approach. DISCUSSION: KrouseÂ’s staging system for inverted papillomas can facilitate both treatment planning and comparison of surgical outcomes. The use of the endoscopic approach resulted in fewer relapses than when the external one was used in cases with the same tumor staging. CONCLUSION: The use of the endoscope in this type of surgical treatment is an important success factor in the treatment of inverted papilloma.

【 授权许可】

Unknown