Bone involvement: Histopathological evidence for endoscopic management of sinonasal inverted papilloma

Liang, Na; Huang, Zhenxiao; Liu, Honggang; Xian, Junfang; Huang, Qian; Zhou, Bing

doi:10.1002/lary.26659

Cited by 22 publications

(29 citation statements)

References 32 publications

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“…Some of their cases demonstrated that the bone had been eroded into pieces and certain parts had been invaded throughout. 14 We presume that in our cases containing a mismatch between radiologic and intraoperative findings, IP recurrence may be attributed to this phenomenon of intraosseous tumor growth instead of osteoneogenesis, at least in a part of the attachment zone. Also, 22% of specimens reported by Chiu et al contained an isolated nest of mucosa located deep in a crevice of bone underlying the IP pedicle.…”

Section: Discussionmentioning

confidence: 68%

Can Computed Tomography Findings Predict the Recurrence of Sinonasal Inverted Papilloma?

Glikson

Dragonetti

Soudry

et al. 2020

Otolaryngol.--head neck surg.

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Objective To evaluate the correlation between the ability to predict the attachment site of sinonasal inverted papilloma by computed tomography and the long-term surgical outcome. Study Design Retrospective cohort study. Setting Five tertiary medical centers. Methods Study patients underwent attachment-oriented resection of inverted papilloma. The primary outcome was tumor recurrence. Results Among 195 patients eligible for the study, focal hyperostosis was recognized on computed tomography in 65% (n = 127), in 71% of primary cases (n = 101), and in 50% of revision procedures (n = 26). There was a trend for a higher incidence of squamous cell carcinoma among the patients without detectable hyperostosis ( P = .051). Location of hyperostosis coincided with the actual tumor attachment site in 114 patients (90%). Discordance between these parameters did not differ significantly ( P = .463) between 11 primary and 2 revision cases. The overall rate of recurrence was 9.7% (n = 19), with a mean time to recurrence of 20 months (range, 7-96 months). The rate of recurrence did not correlate with any of the following: tumor stage, surgical approach, presence of squamous cell carcinoma, whether the surgery was primary or revision, and the presence or location of focal hyperostosis on computed tomography. Inverted papilloma recurred significantly more often (38.5%) when the intraoperative findings of the tumor attachment site did not match the location of hyperostosis observed on computed tomography (odds ratio, 6.5; 95% CI, 1.78-23.66). Conclusion Detectability of focal hyperostosis on preoperative computed tomography does not affect the long-term outcome of inverted papilloma resection.

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Section: Discussionmentioning

confidence: 68%

Can Computed Tomography Findings Predict the Recurrence of Sinonasal Inverted Papilloma?

Glikson

Dragonetti

Soudry

et al. 2020

Otolaryngol.--head neck surg.

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“…Still, our study did not correlate with post-operative specimens between sclerosis and origin of the tumor. Also, intra-lesional calcification is rare and non-specific; only one case presented with spotty calcified focus [21][22][23][24][25].…”

Section: Discussionmentioning

confidence: 99%

Imaging of sino-nasal inverted papilloma: How can we emphasize the usefulness of the “striated pattern” sign?

Eid

Eissa

2020

Egypt J Radiol Nucl Med

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Background: Inverted papilloma (IP) is an uncommon sino-nasal neoplasm with potentially distinctive MRI and CT features. The MR "striated" imaging pattern has been reported as a valuable MR imaging feature of IP. The purpose of this study was to validate the usefulness of this sign using detailed criteria of the sign itself. Results: All imaging findings were described for 16 patients in descriptive pattern. The nasal involvement showed highest prevalence followed by the maxillary sinus. The bony changes include remodeling and defects (n = 6), remodeling only (n = 4), and None (n = 6). Changes were severe 1/10, moderate in 3/10, and mild 5/10. Focal hyperostosis was seen in six. A striated pattern was "diffuse" in all 16 (100%) of the IPs; it followed a certain direction in all 16 patients: divergent (n = 6), convoluted (n = 2), and parallel (n = 8). Divergent growth from focal hyperostosis was seen (n = 4). Visibility of the sign was superior in T2 images (n = 11), superior in enhanced images (n = 3), and equal in both (n = 2). Conclusions: The striated pattern is a reliable MR imaging feature of sino-nasal IPs. Validity and usefulness of this sign can be emphasized by defining parameters of the signs itself including the following: diffusivity, direction of striations and relation to hyperostosis, and comparing visibility in both T2 and GAD-enhanced images, as well as combining this imaging signature with remolding bony changes < 1.5.

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“…10 The extent of surgery in this patient was decided based on the site of origin and area of mucosa involved by the lesion, with the aim being to dissect the involved mucosa in the subperiosteal plane and drill the underlying bone till normal bone is visible. 12,13 Endoscopic endonasal surgery is the gold standard and is preferred over external approach as there is a lower chance of recurrence, absence of a facial incision and reduced post operative pain and paraesthesia. 10 Endoscopic approach should not be used exclusively if a malignancy is present concomitantly with involvement of critical areas, if the inverted papilloma arises from the anterior wall or lateral recess of the frontal sinus or there is massive involvement of the mucosa of the frontal sinus and/or of a supra-orbital cell, or if the orbit is involved.…”

Section: Discussionmentioning

confidence: 99%

Struck by Lightning and Bitten by Snake

Mukhopadhyay

Das

Haque

et al. 2021

BJOHNS

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Introduction The simultaneous occurrence of a benign as well as malignant epithelial lesion, albeit incidental, is a rare occurrence. A multi stage procedure had to be adopted for the appropriate management of this patient. Case Report We report one such case of a 65 year old male who presented with a small black lesion on the left side of the nose and complains of left sided nasal obstruction on a much later date. Discussion The decision to address the benign pathology initially followed by the malignant pathology owing to its indolent course formed the cornerstone in the management of this patient.

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Bone involvement: Histopathological evidence for endoscopic management of sinonasal inverted papilloma

Abstract: NA. Laryngoscope, 127:2703-2708, 2017.

Cited by 22 publications

References 32 publications

Can Computed Tomography Findings Predict the Recurrence of Sinonasal Inverted Papilloma?

Can Computed Tomography Findings Predict the Recurrence of Sinonasal Inverted Papilloma?

Imaging of sino-nasal inverted papilloma: How can we emphasize the usefulness of the “striated pattern” sign?

Struck by Lightning and Bitten by Snake

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