title: Sinonasal inverted papilloma in eastern part of Nepal.
abstract: OBJECTIVE
  To evaluate the clinicopathological profile of sinonasal inverted papilloma in a tertiary referral center in eastern part of Nepal.
  
  
  METHODS
  A prospective study consisting of total 28 histologically proven cases of sinonasal inverted papilloma was conducted in the ENT department of the center. The study period was from April 2002 to November 2005.
  
  
  RESULTS
  Out of 28 cases studied, 21 were males and 7 were females with male to female ratio of 3:1. The highest incidence was seen in the 5th and 6th decades of life. The duration of symptoms varied from 5 months to 20 years with mean duration of 3.9 years. The lateral nasal wall and nasal cavity involvement was seen in all 28 cases. Maxillary sinus was involved in 27(96.4%) subjects followed by ethmoid (20), sphenoid (10) and the frontal sinus (7). The principle presenting symptom was nasal obstruction seen in 96.4% of the patients. Twenty two cases were treated by lateral rhinotomy with medial maxillectomy while, orbital exenteration was done in two cases. Associated carcinoma was noticed in 10.15% of all the subjects studied.
  
  
  CONCLUSIONS
  Sinonasal papilloma mostly presented in fifth to six decades of life mainly affecting the male patients. Majority of the patients were treated by lateral Rhinotomy with medial maxillectomy surgery. Early presentation would have given chances for endoscopic surgery.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, B.P. Koirala Institute of Health Science, Dharan, Nepal. sangitabhandary@hotmail.com
authors.forename: S
authors.initials: S
authors.lastname: Bhandary
authors.forename: R K
authors.initials: RK
authors.lastname: Singh
authors.forename: A K
authors.initials: AK
authors.lastname: Sinha
authors.forename: B P
authors.initials: BP
authors.lastname: Badhu
authors.forename: P
authors.initials: P
authors.lastname: Karki
mesh_terms: D000328:Adult; D017677:Age Distribution; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity; D009390:Nepal / Q000453:epidemiology; D009669:Nose Neoplasms / Q000453:epidemiology* / Q000473:pathology* / Q000601:surgery; D018308:Papilloma, Inverted / Q000453:epidemiology* / Q000473:pathology* / Q000601:surgery; D010256:Paranasal Sinuses; D011446:Prospective Studies; D017678:Sex Distribution; D055815:Young Adult