Kamel R H
Department of Otolaryngology-Head and Neck Surgery, Cairo University, Egypt.
Arch Otolaryngol Head Neck Surg. 1992 Jun;118(6):649-53. doi: 10.1001/archotol.1992.01880060099020.
Inverted papilloma is noted for recurrence and occasional association with malignancy, leading most authors to recommend lateral rhinotomy as the initial surgical approach in all cases; however, conservative surgery has been reported to be effective in selective cases. Endoscopic control was used in the surgical treatment of three cases of inverted papilloma. In all three cases, the lesions were unilateral and localized, with limited extension into the sinonasal region, and they were not associated with malignancy or recurrent (as proved by endoscopy, computed tomography, and histopathologic examination). Total removal of the mass was achieved through a conservative intranasal approach. Endoscopic follow-up for periods ranging between 12 and 39 months, with an average of 23 months, failed to identify any recurrence. These findings point to the feasibility of applying this conservative endoscopic approach for total excision of limited lesions of inverted papilloma.
内翻性乳头状瘤以复发及偶尔与恶性肿瘤相关联而著称，这使得大多数作者建议在所有病例中将鼻侧切开术作为初始手术方法；然而，据报道，保守手术在部分选择性病例中是有效的。内镜控制被用于3例内翻性乳头状瘤的手术治疗。在所有3例病例中，病变均为单侧且局限，向鼻窦区域的扩展有限，并且不伴有恶性肿瘤或复发（经内镜、计算机断层扫描及组织病理学检查证实）。通过保守的鼻内入路实现了肿物的完全切除。内镜随访12至39个月，平均23个月，未发现任何复发。这些发现表明，应用这种保守的内镜方法完全切除局限性内翻性乳头状瘤病变是可行的。
