Mackle Tara, Chambon Guillaume, Garrel Renaud, Meieff Marc, Crampette Louis
Acta Otolaryngol. 2008 Jun;128(6):670-4. doi: 10.1080/00016480701649564.
Endoscopic surgical management is recommended as a viable treatment option for sinonasal papilloma, with comparable results to those treated by an external approach. An external approach is still indicated in cases where the papilloma is not accessible endoscopically, or where there is extrasinus invasion. Long-term follow-up is essential for recurrence detection.
The goal of this study was to highlight our experience with endoscopic surgery for the management of sinonasal papilloma.
A retrospective study of all patients who underwent endoscopic surgery for the treatment of sinonasal papilloma over a 12 year period at the Gui de Chauliac Hospital, Montpellier, France.
A total of 55 patients were included in this study; 32 patients (58%) were treated exclusively by an endoscopic approach and 23 (42%) were treated by a combined approach. Minimal follow-up was 3 years. The overall recurrence rate was 7%. All recurrences occurred at the initial site and the average delay between surgery and recurrence was 30 months (14 months to 4 years).
对于鼻窦乳头状瘤，推荐采用内镜手术治疗，其效果与外部手术相当。若乳头状瘤无法通过内镜处理或存在鼻窦外侵犯，则仍需采用外部手术。长期随访对于复发检测至关重要。
本研究的目的是突出我们在内镜手术治疗鼻窦乳头状瘤方面的经验。
对法国蒙彼利埃市Gui de Chauliac医院12年间接受内镜手术治疗鼻窦乳头状瘤的所有患者进行回顾性研究。
本研究共纳入55例患者；32例（58%）仅接受内镜手术治疗，23例（42%）接受联合手术治疗。最短随访时间为3年。总体复发率为7%。所有复发均发生在初始部位，手术与复发之间的平均间隔时间为30个月（14个月至4年）。
