Endoscopic treatment of sinonasal papilloma: a 12 year review.
CONCLUSIONS
Endoscopic surgical management is recommended as a viable treatment option for sinonasal papilloma, with comparable results to those treated by an external approach. An external approach is still indicated in cases where the papilloma is not accessible endoscopically, or where there is extrasinus invasion. Long-term follow-up is essential for recurrence detection.


OBJECTIVE
The goal of this study was to highlight our experience with endoscopic surgery for the management of sinonasal papilloma.


METHODS
A retrospective study of all patients who underwent endoscopic surgery for the treatment of sinonasal papilloma over a 12 year period at the Gui de Chauliac Hospital, Montpellier, France.


RESULTS
A total of 55 patients were included in this study; 32 patients (58%) were treated exclusively by an endoscopic approach and 23 (42%) were treated by a combined approach. Minimal follow-up was 3 years. The overall recurrence rate was 7%. All recurrences occurred at the initial site and the average delay between surgery and recurrence was 30 months (14 months to 4 years).
tara_mlny@yahoo.ie
Tara
T
Mackle
Guillaume
G
Chambon
Renaud
R
Garrel
Marc
M
Meieff
Louis
L
Crampette
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010212:Papilloma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D018308:Papilloma, Inverted / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed