[Inverted nasosinusal papilloma and lateronasal rhinotomy].
The authors report about 18 cases of inverting papillomas treated between 1972 and 1992. (17 men and 1 woman). The minimum follow-up was of 30 months. The mean age was 55 years with ages ranging from 26 to 85 years. The most frequent symptom encountered was unilateral nasal obstruction. A synchronous carcinoma occurred in 2 patients. Treatment was always surgical: lateral rhinotomy and total ethmoidectomy. A local recurrence occurred in 1 on 16 benign inverting papillomas (6.2%). No local recurrence occurred in malignant inverting papillomas treated by surgery and followed by postoperative radiation. A metachronous malignant papilloma never occurred. Because of the high risk of recurrence and malignant transformation and after analyzing the literature, the authors recommend a lateral rhinotomy and total ethmoidectomy with as limited after effects as possible.
Hans
S
S
Service d'Otorhinolaryngologie et de chirurgie Cervico-faciale, Hôpital Laennec, U.F.R. Necker Enfants Malades Université Paris V.
Laccourreye
O
O
Jouffre
V
V
Menard
M
M
Brasnu
D
D
Laccourreye
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005004:Ethmoid Bone / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009669:Nose Neoplasms / Q000601:surgery*; D018308:Papilloma, Inverted / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies
Papillomes inverses naso-sinusiens et rhinotomie latero-nasale.