A multimodal diagnostic approach to inverted papilloma: Proposal of a novel diagnostic flow-chart

Russo, Camilla; Elefante, Andrea; Romano, Antonio; Cama, Antonia; Erra, Maurizio; Ugga, Lorenzo; Brunetti, Lisa; Motta, Giovanni; Califano, Luigi; Iengo, Maurizio; Cantone, Elena

doi:10.1067/j.cpradiol.2020.04.009

Cited by 3 publications

(2 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The focal hyperostosis and the convoluted cerebriform pattern are considered the most distinctive imaging features of inverted papilloma. The MRI is suggested as the first radiologic step as it offers better tissue characterization with higher accuracy concerning SNIP characteristic features [14]. Dynamic contrast-enhanced MRI offer excellent tool to differentiate between the original site and periphery of SNIP [15].…”

Section: Detection Of Origin and Site Of Attachmentmentioning

confidence: 99%

Surgical treatment of sinonasal inverted papilloma

Kamel

Khaled

Abdelfattah

et al. 2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

Purpose of reviewTo highlight how surgery of inverted papilloma has developed during the past year. Moreover, to give our own opinion on the state of research regarding inverted papilloma surgical management. Recent findingsRecent studies covering surgical treatment of inverted papilloma concentrated on the optimum surgical management aiming at complete resection, least morbidity and best outcome, with special interest regarding the maxillary and frontal sinuses. In maxillary sinus inverted papilloma, to avoid empty nose and/or epiphora, recent articles exerted all attempts to preserve the integrity of both the inferior turbinate and nasolacrimal duct, yet offer best exposure of all maxillary sinus walls specially the anterior and inferior ones. These included the new modifications of the prelacrimal and Denker approaches and lateral nasal wall transposition. In frontal sinus inverted papilloma, to avoid an external approach and insure postoperative patency of frontal sinus ostium, the periorbital suspension was introduced and orbital transposition approach was comprehensively utilized especially in far lateral located lesions and/or in supraorbital recess involvement. Associated malignancy is an important issue to identify as management plans significantly differ. Recurrence occurs early within the first 2 years but long-term follow-up is mandatory.

show abstract

Section: Detection Of Origin and Site Of Attachmentmentioning

confidence: 99%

Surgical treatment of sinonasal inverted papilloma

Kamel

Khaled

Abdelfattah

et al. 2021

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

show abstract

“…Bone involvement is common, in the form of thinning or erosion of bony structures and septal deviation [ 2 ]. MRI is slightly more specific than CT and reveals the following typical features: isointense signal on T2-weighted images (T2WI) and so-called “cerebriform” configuration both on T2 and enhanced T1WI [ 10 , 19 ]. Due to extensive bone involvement and to the possibility of malignant transformation, radical surgical excision is mandatory, and is often achieved by endoscopic procedures.…”

Section: Discussionmentioning

confidence: 99%

Value of a Multidisciplinary Approach in Sinonasal Inverted Papilloma with Extensive Ossification

et al. 2021

View full text Add to dashboard Cite

Patient: Male, 51-year-old Final Diagnosis: Sinonasal inverted papilloma Symptoms: Nasal congestion • nasal mass Medication: — Clinical Procedure: — Specialty: Pathology Objective: Rare disease Background: Inverted papilloma is a benign epithelial lesion of the nasal cavities. Although commonly encountered in clinical practice, it rarely presents with extensive ossification and few cases have been described in the literature. Casa Report: Herein, we describe the case of a 51-year-old man who presented to clinical attention for persistent right nasal obstruction. Magnetic resonance imaging (MRI) and computed tomography (CT) scans of the facial bones showed a lobated lesion with ossification occupying most of the right nasal cavity. The lesion was removed by endoscopic sinus surgery, leaving the surrounding bone structures intact. On pathological examination, mature bone tissue was found within an inverted papilloma. The pathologist contacted the surgeon, who confirmed that no healthy bone tissue was removed during the procedure. Therefore, a diagnosis of inverted papilloma with ossification could be made without the use of ancillary techniques. Conclusions: Inverted papilloma with ossification is a common lesion with a rare feature. Our report investigates the diagnostic difficulties of a paradigmatic case, highlighting the importance of multidisciplinary teamwork in reaching the final diagnosis.

show abstract

Management of frontal sinus and frontal recess inverted papilloma: our experience and systematic review

Gaudioso,

Vinciguerra,

Verillaud

et al. 2024

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

Summary Objective For frontal sinus inverted papilloma (FSIP) management, an endoscopic endonasal approach (EEA) can be combined (or not) with an external approach by an osteoplastic flap (OPF) or with a more conservative open approach. The present study aims to describe our experience in the management of FSIP, focusing on disease-related and anatomical features influencing outcomes and recurrence. Methods This case series of FSIP investigated anatomical and disease-related predictors of recurrence associated with EEA or a combined EEA-OPF approach. A systematic review was also performed, selecting publications on IP with the insertion point in the frontal sinus or frontal recess. Results Among 30 patients included, 18 underwent EEA, while 12 received a combined EEA-OPF approach. During a median follow-up of 37 months, the frontal sinus was cleared of IP in all cases except 2 in the EEA group, who presented a complex posterior wall shape of the frontal sinus. From the systematic review, a combined EEA-OPF approach was associated with a lower risk of recurrence. Conclusions A correct indication for a combined EEA-OPF approach is paramount and should integrate all disease-related and anatomical features, including posterior wall shape.

show abstract

A multimodal diagnostic approach to inverted papilloma: Proposal of a novel diagnostic flow-chart

Cited by 3 publications

References 32 publications

Surgical treatment of sinonasal inverted papilloma

Surgical treatment of sinonasal inverted papilloma

Value of a Multidisciplinary Approach in Sinonasal Inverted Papilloma with Extensive Ossification

Management of frontal sinus and frontal recess inverted papilloma: our experience and systematic review

Contact Info

Product

Resources

About