Malignancy in nasal papillomata

Worgan, D.; Hooper, Rowan

doi:10.1017/s0022215100071917

Cited by 12 publications

(3 citation statements)

References 12 publications

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“…Our case shows that radical resection of tumors in this location does not necessarily imply serious functional and aesthetic impairment for the patient. It is notable that the reported relationship between IP and squamous cell carcinoma was observed in this case [6]. …”

Section: Discussionsupporting

confidence: 52%

Is radical surgery of an inverted papilloma of the maxillary sinus obsolete? a case report

et al. 2016

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BackgroundSinonasal inverted papilloma is a locally aggressive tumor arising from the Schneiderian membrane which lines the nasal cavity and paranasal sinuses. Aggressive surgical approaches, such as lateral rhinotomy, were used until recently for complete removal of the inverted papilloma. Currently, endoscopic resection is the gold standard in the treatment of inverted papilloma. However, there are situations that justify an open approach. For example there are studies that report a higher postoperative recurrence rate after endonasal endoscopic resection, particularly in the treatment of recurrent diseases. While endoscopic resection performed by an experienced surgeon is definitely a minimally invasive therapy, an open approach is not necessarily associated with functional and aesthetic disadvantages.This case report describes the treatment of inverted papilloma by an open approach. This has been described before but the new gold standard of endoscopic resection has to be taken into account before any treatment decision is made nowadays.Case presentationContrast-enhanced magnetic resonance imaging of the head and neck area was indicated in a 72-year-old white German man who presented with suspected squamous cell carcinoma of his lower lip. Magnetic resonance imaging additionally revealed a 3×2 cm2 polycyclic arranged mucosal thickening with cystic and solid contrast affine shares at the antral laterocaudal area of his right maxillary sinus, extending from his right lateral nasal wall to his maxillary sinus floor.He received antral polypectomy with medial maxillectomy via a unilateral LeFort I osteotomy approach. His pterygoid plate was preserved. A histological examination demonstrated a tumor composed of hyperplastic squamous epithelium protruding into the stroma (surface epithelial cells grew downward into the underlying supportive tissue), thus producing a grossly convoluted cerebriform appearance. Two weeks later, the patient regained a well-formed maxilla without any restrictions. He has remained disease-free for 25 months following the surgery and surveillance was continued in our tumor clinic.ConclusionsEndoscopic resection of an inverted papilloma continues to be the gold standard. However, some cases require a radical approach. This does not necessarily increase patient morbidity.

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Section: Discussionsupporting

confidence: 52%

Is radical surgery of an inverted papilloma of the maxillary sinus obsolete? a case report

et al. 2016

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“…To achieve this satisfactorily, lateral rhinotomy or the Webber-Fergusson approach for nasal tumours, and/or lateral rhinotomy and the Caldwell-Luc approach for sinus tumours, should be done. This will enable total excision of the nasal and sinus components of the tumour under direct vision (Worgan and Hooper, 1970).…”

Section: Treatmentmentioning

confidence: 99%

Inverted papilloma of the nose

Kamal

1981

J. Laryngol. Otol.

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“…A lateral rhinotomy approach was adopted in preference to an intranasal approach in view of the solid feel of the mass, and the uncertain knowledge of the extent of it within the ethmoid labyrinth. It is a useful technique for the removal of both benign and malignant tumours of the nasal cavity and ethmoid bone (Harrison, 1977;Worgan and Hooper, 1970), and has the advantage of being cosmetically acceptable.…”

mentioning

confidence: 99%

Pyocoele of the middle turbinate

Irwin¹

1983

J. Laryngol. Otol.

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Malignancy in nasal papillomata

Cited by 12 publications

References 12 publications

Is radical surgery of an inverted papilloma of the maxillary sinus obsolete? a case report

Is radical surgery of an inverted papilloma of the maxillary sinus obsolete? a case report

Inverted papilloma of the nose

Pyocoele of the middle turbinate

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