Management of inverted papilloma: review

Attlmayr, B; Derbyshire, S G; Kasbekar, Anand V.; Swift, A. C.

doi:10.1017/s0022215117000172

Cited by 33 publications

(51 citation statements)

References 36 publications

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“…There are several differential diagnoses of unilateral sinus disease with or without polypoid masses in the nasal cavity and middle meatus, e.g. asymmetric manifestation of bilateral chronic rhinosinusitis, odontogenic sinusitis, (antro)choanal polyp, otherwise undefined isolated nasal polyps and benign or malignant tumors [1,2,3,4]. Tumors can mimic inflammatory lesions due to superficial edema hiding the typical endoscopic appearance of such tumors.…”

Section: Introductionmentioning

confidence: 99%

“…IP of the nose and paranasal sinuses is a benign tumor with a considerable risk for secondary malignancy and a high risk for recurrence [1,2,5,6]. The tumor shows characteristic finger-like invagination of the epithelium in the underlying stroma with aggressive local growth and the tendency to invade the bony surroundings [5,7,8,9].…”

Section: Introductionmentioning

confidence: 99%

“…The treatment of choice is the complete surgical removal of the tumor, which is based on the so-called subperiosteal resection with removal or drilling of the bone at the attachment site [8,10,11,12,13,14,15,16,17,18,19,20,21]. Currently, endoscopic techniques are considered to be the standard procedure for most of the cases [1,2,10,22], but, in principle, an individually adapted surgical strategy is recommended [9,11,12,23,24,25]. Inverted papillomas of the maxillary sinus are difficult to treat, because a considerable portion of the maxillary sinus cannot be adequately visualized and reached, even with the use of angled endoscopes and instruments [10,26,27,28].…”

Section: Introductionmentioning

confidence: 99%

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Surgery of Inverted Papilloma of the Maxillary Sinus via Translacrimal Approach—Long-Term Outcome and Literature Review

Hildenbrand

Weber

Mertens

et al. 2019

JCM

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There are several differential diagnoses of unilateral sinus disease. One of these is inverted papilloma (IP) of the maxillary sinus, which is a common benign tumor with a substantial rate of malignant transformation. In general, endoscopic endonasal techniques for addressing the tumor are favored nowadays instead of classical external approaches. The aim of this retrospective study was to investigate the long-term outcome of inverted papilloma treated endoscopically via the prelacrimal approach. We reviewed 17 patients with primary or recurrent IP of the maxillary sinus that were treated via the prelacrimal endoscopic endonasal technique. After a median follow-up period of 45.9 months (3.8 years), none of the 17 included patients showed signs of recurrent disease and no serious complications were reported. Hypoesthesia of the incisors was reported by four patients and was resolved with time in one. All of the maxillary sinuses could be fully visualized with the flexible endoscope. IP is an important differential diagnosis in the clinical finding of unilateral nasal polypoid lesions. The prelacrimal approach is an effective and safe method in the treatment of IP with limited patient morbidity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgery of Inverted Papilloma of the Maxillary Sinus via Translacrimal Approach—Long-Term Outcome and Literature Review

Hildenbrand

Weber

Mertens

et al. 2019

JCM

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“…A pedicle-oriented surgery with clear mucosal margins has been recently preferred as the adequate approach [36][37][38][39] . Even in advanced stages, most cases of inverted papillomas have a relatively small area of origin.…”

Section: Patient Managementmentioning

confidence: 99%

“…When the tumor is large and is extending to the paranasal sinuses, a wide surgical field is required by lateral rhinotomy, medial maxillectomy or midfacial degloving approach 38,40,41 . In addition to extensive surgical resection, adjuvant therapies including radiation and chemotherapy may be required in patients with IP-SCC.…”

Section: Patient Managementmentioning

confidence: 99%

Sinonasal inverted papilloma – what’s new

Mârza

Sarafoleanu

Muşat

2019

Romanian Journal of Rhinology

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Inverted or Schneiderian papilloma is a locally aggressive benign tumor with strong recurring tendency and a high potential to transform into a malignant squamous cell carcinoma. Although the clinical characteristics of inverted papilloma, along with the morphological features, have been adequately described, controversy remains with regards to the risk factors and disease etiology. The complete excision of the tumor by surgery is traditionally considered the mainstay of therapy. This paper updates the state of knowledge and presents our experience from treating 52 patients, diagnosed with inverted papilloma, who underwent surgical treatment in our department. We performed genotyping for Human Papilloma Virus (HPV) for all the patients included in our study group.

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How aggressive should resection of inverted papilloma be? Refinement of surgical planning based on the 25‐year experience of a single tertiary center

Ferrari

Schreiber

Mattavelli

et al. 2020

Int Forum Allergy Rhinol

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BackgroundThe technique for transnasal endoscopic resection of inverted papilloma (IP) has evolved considerably during the last 20 years. The aim of the present study is to retrospectively analyze a single tertiary center series, with special emphasis on assessing the value of an “insertion‐driven” technique on local control.MethodsPatients undergoing endoscopic resection for IP at the University of Brescia during the period 1991 to 2015 were enrolled. Site of origin and extension of IPs were assessed, together with presence of dysplasia and carcinoma in situ. Patients were divided in 3 cohorts: (1) historical cohort (treated before 2008), (2) contemporary “centripetal” cohort (treated with a traditional technique after 2008), and (3) contemporary “insertion‐driven” cohort (treated with insertion‐driven resection). Groups were compared considering outcomes and complications.ResultsThe series included 210 patients. Mean follow‐up was 77.8 months. Thirty‐eight (18.1%) patients showed precancerous changes. Maxillary involvement (p = 0.021) and presence of precancerous changes (p = 0.013) were significantly associated with a higher risk of recurrence. Five‐year local control rate before and after 2008 was 95.1% and 90.5%, respectively. The insertion‐driven cohort was associated with lower disease control when IPs involved the maxillary sinus. The rate of complications was 11.9%. The insertion‐driven cohort was associated with a lower rate of major complications (p = 0.098).ConclusionPreoperative evidence of precancerous changes and/or involvement of maxillary sinus should prompt the surgeon to address the disease more aggressively (centripetal resection). Preoperative imaging and biopsy with abundant material may optimize the chance to stratify patients eligible for less or more conservative approaches.

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Management of inverted papilloma: review

Abstract: There is a general trend towards endoscopic surgery. There may be some benefit to the use of attachment-oriented surgery and frozen sections. Multi-centred randomised controlled trials are required.

Cited by 33 publications

References 36 publications

Surgery of Inverted Papilloma of the Maxillary Sinus via Translacrimal Approach—Long-Term Outcome and Literature Review

Surgery of Inverted Papilloma of the Maxillary Sinus via Translacrimal Approach—Long-Term Outcome and Literature Review

Sinonasal inverted papilloma – what’s new

How aggressive should resection of inverted papilloma be? Refinement of surgical planning based on the 25‐year experience of a single tertiary center

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