Results Of Endoscopic Transnasal Resection Of Sinonasal Inverted Papiloma

Inverted papilloma is an uncommon benign neoplasm originating from lateral nasal wall. It commonly invades paranasal sinuses and sometimes invasion to orbit and intracranial structures are seen. There are many surgical methods for its treatment, one of them is endoscopic transnasal approach.&quo...

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Main Author: Baradaranfar M. H
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2003-08-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/5441.pdf&manuscript_id=5441
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author Baradaranfar M. H
author_facet Baradaranfar M. H
author_sort Baradaranfar M. H
collection DOAJ
description Inverted papilloma is an uncommon benign neoplasm originating from lateral nasal wall. It commonly invades paranasal sinuses and sometimes invasion to orbit and intracranial structures are seen. There are many surgical methods for its treatment, one of them is endoscopic transnasal approach."nMaterials and Methods: Between 1997 and 2001, 11 patients with this tumor were operated in Amiralam hospital in Tehran and Shahid Rahnemun in Yazd. Nine patients were operated by endoscopic transnasal route and two patients by combined Caldwell-luc and endoscopic transnasal routes."nResults: Tumors were on the right side in 3 patients, on the left side in 7 patients, and bilateral in one patient. There were no intracranial or orbital extensions. No pathologic report of malignancy was made. Surgical technique included complete tumor resection, anterior and posterior ethomidectomies, sphenoidectomy, frontal recess tumor resection and wide maxillary antrostomy, in cases in whom tumor was attached to lamina papyracea, the lamina was removed without any manipulation to orbital periosteum. Mean follow-up time was 29.8 months. There was no recurrence in 82% of cases. Tumor recurred in 18% of cases. No complications were seen."nConclusion: Although the standard treatment for this tumor is medial maxillectomy but endoscopic resection is an effective method in surgery of this tumor. It seems that if tumor does not extend to areas unreachable by endoscopic surgery, due to lower morbidity and excellent visualization of tumor, this method is preferable.
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spelling doaj.art-614e673892bb40f8a651a416f0ca2f532022-12-21T18:20:52ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222003-08-01613199205Results Of Endoscopic Transnasal Resection Of Sinonasal Inverted PapilomaBaradaranfar M. HInverted papilloma is an uncommon benign neoplasm originating from lateral nasal wall. It commonly invades paranasal sinuses and sometimes invasion to orbit and intracranial structures are seen. There are many surgical methods for its treatment, one of them is endoscopic transnasal approach."nMaterials and Methods: Between 1997 and 2001, 11 patients with this tumor were operated in Amiralam hospital in Tehran and Shahid Rahnemun in Yazd. Nine patients were operated by endoscopic transnasal route and two patients by combined Caldwell-luc and endoscopic transnasal routes."nResults: Tumors were on the right side in 3 patients, on the left side in 7 patients, and bilateral in one patient. There were no intracranial or orbital extensions. No pathologic report of malignancy was made. Surgical technique included complete tumor resection, anterior and posterior ethomidectomies, sphenoidectomy, frontal recess tumor resection and wide maxillary antrostomy, in cases in whom tumor was attached to lamina papyracea, the lamina was removed without any manipulation to orbital periosteum. Mean follow-up time was 29.8 months. There was no recurrence in 82% of cases. Tumor recurred in 18% of cases. No complications were seen."nConclusion: Although the standard treatment for this tumor is medial maxillectomy but endoscopic resection is an effective method in surgery of this tumor. It seems that if tumor does not extend to areas unreachable by endoscopic surgery, due to lower morbidity and excellent visualization of tumor, this method is preferable.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/5441.pdf&manuscript_id=5441Inverted papillomaparanasal sinusesTransnasal Resectio
spellingShingle Baradaranfar M. H
Results Of Endoscopic Transnasal Resection Of Sinonasal Inverted Papiloma
Tehran University Medical Journal
Inverted papilloma
paranasal sinuses
Transnasal Resectio
title Results Of Endoscopic Transnasal Resection Of Sinonasal Inverted Papiloma
title_full Results Of Endoscopic Transnasal Resection Of Sinonasal Inverted Papiloma
title_fullStr Results Of Endoscopic Transnasal Resection Of Sinonasal Inverted Papiloma
title_full_unstemmed Results Of Endoscopic Transnasal Resection Of Sinonasal Inverted Papiloma
title_short Results Of Endoscopic Transnasal Resection Of Sinonasal Inverted Papiloma
title_sort results of endoscopic transnasal resection of sinonasal inverted papiloma
topic Inverted papilloma
paranasal sinuses
Transnasal Resectio
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/5441.pdf&manuscript_id=5441
work_keys_str_mv AT baradaranfarmh resultsofendoscopictransnasalresectionofsinonasalinvertedpapiloma