Ondzotto G, Nkoua-Mbon J B, Peko J F, Galiba J
CHU de Brazzaville, Service d'ORL et de Chirurgie Cervico-Faciale, BP. 32, 13356. Brazzaville, Congo.
Rev Laryngol Otol Rhinol (Bord). 2005;126(2):115-20.
Inverted nasosinusal papilloma is a rare tumorous process involving mucosa of nasal fossa and paranasal sinus unilaterally. The authors studied inverted naso-sinusal papilloma observed and treated in ENT and Head and Neck department at Brazzaville University Hospital.
Retrospective study concerning 13 patients treated between 1988 and 2001.
The average age is 34 years (range: 16 to 60 years); old nasal obstruction is the main symptom (12 cases); the diagnosis is histologic; association with Killian polyp (1 case), human papilloma virus infection (1 case) and rhinosporidiosis (1 case); large surgical removal (Caldwell-Luc, para-latero-nasal) and polypectomy associated to diathermy of tumorous insertion place permitted to have satisfactory results; the recurrencies were observed in four cases from 7 months to 10 years (average: 4 years); malignant transformation is noted in 2 cases with one case of inverted papilloma combined to Human Papilloma Virus infection.
All naso-sinusal polypoid should have a histological study. Patients must be followed-up regularly; this is very difficult in Africa.
内翻性鼻窦乳头状瘤是一种罕见的肿瘤性病变，单侧累及鼻腔和鼻窦黏膜。作者对布拉柴维尔大学医院耳鼻喉科和头颈科观察和治疗的内翻性鼻窦乳头状瘤进行了研究。
对1988年至2001年间治疗的13例患者进行回顾性研究。
平均年龄34岁（范围：16至60岁）；长期鼻塞是主要症状（12例）；诊断依靠组织学检查；合并基利安息肉（1例）、人乳头瘤病毒感染（1例）和鼻孢子虫病（1例）；采用大型手术切除（柯德威尔-卢氏手术、鼻旁外侧手术）及息肉切除术并结合肿瘤附着部位的透热疗法，取得了满意的效果；4例出现复发，时间为7个月至10年（平均4年）；2例发生恶变，其中1例为内翻性乳头状瘤合并人乳头瘤病毒感染。
所有鼻窦息肉样病变均应进行组织学检查。患者必须定期随访；在非洲，这很难做到。
