Endoscopic treatment of inverted papilloma attached in the frontal sinus/recess.

Rhinology
G F J P M AdriaensenW J Fokkens

Abstract

Inverted papilloma (IP) is a benign sinonasal tumour for which endoscopic surgery, with complete removal of the underlying and surrounding mucoperiosteum at the attachment site followed by drilling and/or coagulation of this area, is the treatment of choice. This can be challenging in the frontal sinus. To report on the outcome of treatment for IPs involving the frontal sinus. To propose the possible use of topical 5-fluorouracil 5% (5-FU) in the postoperative management of challenging IPs. This is a retrospective cohort evaluation of patients with IPs attached in the frontal sinus or in the frontal recess and growing into the frontal sinus. Data on primary or revision surgery, uni- or bilaterality, attachment site, surgical procedure, 5-FU usage, recurrence and follow-up are provided. The end points are disease-free follow-up in months and recurrence. Twenty cases, including fifteen revision cases, were retrieved over a period of ten years. All cases were treated endoscopically. Two cases recurred (10%) and the intervention was repeated. In eight cases, 5-FU was applied at the end of surgery. None of these cases recurred. The mean follow-up after the last intervention was 42 months (standard deviation (SD) 22.1). IP involving ...Continue Reading

Citations

Jun 7, 2017·Allergy & Rhinology·Edward C KuanJeffrey D Suh
Apr 3, 2019·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·G PietrobonP Castelnuovo
Aug 17, 2019·The Laryngoscope·Cheuk Lun ShamMichael C F Tong
Sep 24, 2016·American Journal of Rhinology & Allergy·Benjamin VerillaudPhilippe Herman
Oct 27, 2020·Head & Neck·Gregori H A BinzChristian M Meerwein
Aug 26, 2021·The Journal of Laryngology and Otology·D SpinosC Georgalas
Apr 7, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ralph HaddadWalid Abou Hamad

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.