Inverted Papilloma in Children

Abstract

Inverted papilloma (IP) is considered a rare benign sinonasal lesion, which is usually presented in adults. The presentation of IP is usually a unilateral nasal obstruction. IPs in the pediatric age group are quite rare as only a few cases were reported. This review aims to increase the awareness of IP to consider this entity in the diagnosis of unilateral nasal obstruction in children. This study was a review of 10 articles which reported the occurrence of IPs in children. Data include age, presentation, diagnosis, and treatment which were extracted and analyzed. The total number of cases was 12. The mean age of all cases was 10.5 years. The majority were male (66%). The main presenting symptom of all cases was nasal obstruction along with other nasal symptoms. The majority of the patients were treated by surgical excision of the lesion. Most of the cases 6 (50%) used endoscopic sinus surgery, and 5 (41%) of them were managed by lateral rhinotomy with or without medial maxillectomy. Follow-up showed that 7 (58%) of the cases did not document any recurrence of the disease. The reoccurrence occurred in 5 (41%) of the cases within the 1st year after the management. IPs can arise in the pediatric age group and should be considered in the differential diagnosis of unilateral nasal obstruction. It is diagnosed and treated likewise in adults.