Inverted papilloma: a review of 53 cases.
OBJECTIVE
To assess the surgical management of patients with inverted nasal papilloma over a 14-year period.


METHODS
Retrospective study.


METHODS
Tertiary health care center.


RESULTS
Fifty-three patients (38 males, 15 females) with an average age of 49.8 years were treated. Overall recurrence rate was 28% and a malignant association of 9% was shown. Recurrence rates varied from 27% in patients with more extensive disease involvement treated by lateral rhinotomy and medial maxillectomy, to 30% in patients with less extensive disease treated conservatively. Of the 5 patients with associated malignancy, 3 (6% of all patients) are likely to have undergone malignant transformation.


CONCLUSIONS
Aggressive initial management remains the therapeutic aim in this condition.
Thorp
M A
MA
Department of Otolaryngology, University of Cape Town, Groote Schuur Hospital, Observatory, South Africa.
Oyarzabal-Amigo
M F
MF
du Plessis
J H
JH
Sellars
S L
SL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity; D009364:Neoplasm Recurrence, Local; D009669:Nose Neoplasms / Q000601:surgery*; D018308:Papilloma, Inverted / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies