title: Surgical management of inverted papilloma: approaching a new standard for surgery.
abstract: BACKGROUND
  Inverted papilloma surgery is currently performed primarily with an endoscopic approach, a technique that has a recurrence rate of 12%. However, a recent study reported a recurrence rate of 5% with a strategy based on subperiosteal dissection of the tumor, with limited indications for using an external approach. The aim of this work was to evaluate whether different teams using the same surgical concepts could reproduce the excellent results that were recently reported.
  
  
  METHODS
  This study is a retrospective chart review of 71 consecutive patients with inverted papilloma who were treated during the last 10 years.
  
  
  RESULTS
  In all, 80% of the patients were treated using a purely endoscopic approach. The mean follow-up period was 31.6 months. The recurrence rate was 3.3% for cases with at least a 12-month follow-up.
  
  
  CONCLUSIONS
  This work confirms the results described in recent literature and further supports transnasal endoscopic surgery to manage inverted papilloma.
authors.affiliation: Assistance Publique-Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France.
authors.forename: Filippo
authors.initials: F
authors.lastname: Carta
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Blancal
authors.forename: Benjamin
authors.initials: B
authors.lastname: Verillaud
authors.forename: Hugo
authors.initials: H
authors.lastname: Tran
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Sauvaget
authors.forename: Romain
authors.initials: R
authors.lastname: Kania
authors.forename: Philippe
authors.initials: P
authors.lastname: Herman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D004724:Endoscopy / Q000379:methods / Q000592:standards*; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods / Q000592:standards; D015508:Nasal Obstruction / Q000175:diagnosis / Q000209:etiology; D009361:Neoplasm Invasiveness / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D009669:Nose Neoplasms / Q000473:pathology / Q000601:surgery*; D018308:Papilloma, Inverted / Q000473:pathology / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000473:pathology / Q000601:surgery; D061214:Patient Safety; D012015:Reference Standards; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome