The role of conservative surgery in the management of inverted papilloma.
A group of 31 patients with inverted papilloma were treated at the Mount Sinai Medical Center. There were no multicentric cases, and one patient had an associated malignancy. A conservative procedure consisting of intranasal or transantral sphenoethmoidectomy was selectively performed in 8 patients with limited lesions. No recurrences were observed in this group after a mean follow-up of 2 years. Lateral rhinotomy with medial maxillectomy and en bloc resection of the ethmoid labyrinth was performed in 23 other patients. One recurrence appeared in this group, members of which were followed a mean of 3.8 years. Radiographic evaluation by multidirectional polytomography and CT scanning permits identification of a small group of patients who have limited lesions and may be candidates for conservative tumor excision.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009666:Nose / Q000601:surgery; D009669:Nose Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D010212:Papilloma / Q000000981:diagnostic imaging / Q000601:surgery*; D010256:Paranasal Sinuses / Q000601:surgery; D014057:Tomography, X-Ray Computed