Journal article
Long-term results of endonasal sinus surgery in sinonasal papillomas.
- Kraft M Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Lausanne, Switzerland.
- Simmen D
- Kaufmann T
- Holzmann D
- 2003-09-16
Published in:
- The Laryngoscope. - 2003
Adult
Aged
Aged, 80 and over
Endoscopy
Female
Follow-Up Studies
Humans
Male
Microsurgery
Middle Aged
Nasal Septum
Neoplasm Recurrence, Local
Nose
Nose Neoplasms
Papilloma
Paranasal Sinus Neoplasms
Paranasal Sinuses
Reoperation
Tomography, X-Ray Computed
Treatment Outcome
English
OBJECTIVE
To assess the value of endonasal sinus surgery in the management of sinonasal papillomas.
STUDY DESIGN
Retrospective study including 43 patients operated on for sinonasal papilloma in a long-term follow-up.
METHODS
In 26 cases (60%) an endonasal approach, in eight cases (19%) an external approach, and in four cases (9%) a combined procedure was performed to remove these tumors. Five septal lesions (12%) were resected under direct vision. The original sections and charts of all patients were reviewed to assess clinical data. Follow-up information was available for 42 of our patients (98%) with a mean follow-up of 62 months.
RESULTS
Histologic examination revealed 34 cases of inverted papilloma (79%), five cases of exophytic papilloma (12%), and four cases of columnar cell papilloma (9%). Malignancy occurred in 4 of 43 patients (9%), and recurrences developed in 8 of 42 patients (19%). Two of these recurrences happened after endoscopic sinus surgery (two inverted papillomas), three after lateral rhinotomy (three inverted papillomas), one after a combined procedure (one inverted papilloma), and two after simple resection (two exophytic papilloma).
CONCLUSIONS
In keeping with our experience, the endonasal endoscopic approach, often in combination with a medial maxillectomy, is favored for the treatment of sinonasal papilloma because of a lower recurrence rate and a better cosmetic result. In some larger tumors and lesions in difficult locations, better visualization can be obtained by a combined external and endonasal approach.
To assess the value of endonasal sinus surgery in the management of sinonasal papillomas.
STUDY DESIGN
Retrospective study including 43 patients operated on for sinonasal papilloma in a long-term follow-up.
METHODS
In 26 cases (60%) an endonasal approach, in eight cases (19%) an external approach, and in four cases (9%) a combined procedure was performed to remove these tumors. Five septal lesions (12%) were resected under direct vision. The original sections and charts of all patients were reviewed to assess clinical data. Follow-up information was available for 42 of our patients (98%) with a mean follow-up of 62 months.
RESULTS
Histologic examination revealed 34 cases of inverted papilloma (79%), five cases of exophytic papilloma (12%), and four cases of columnar cell papilloma (9%). Malignancy occurred in 4 of 43 patients (9%), and recurrences developed in 8 of 42 patients (19%). Two of these recurrences happened after endoscopic sinus surgery (two inverted papillomas), three after lateral rhinotomy (three inverted papillomas), one after a combined procedure (one inverted papilloma), and two after simple resection (two exophytic papilloma).
CONCLUSIONS
In keeping with our experience, the endonasal endoscopic approach, often in combination with a medial maxillectomy, is favored for the treatment of sinonasal papilloma because of a lower recurrence rate and a better cosmetic result. In some larger tumors and lesions in difficult locations, better visualization can be obtained by a combined external and endonasal approach.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1097/00005537-200309000-00025
- PMID 12972931
- Persistent URL
- https://sonar.ch/global/documents/139214
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