鼻腔鼻窦内翻性乳头状瘤：84 例内镜治疗患者及一种新分类方法的提出。

Sinonasal inverted papilloma: 84 patients treated by endoscopy and proposal for a new classification.

机构信息

Unita Operativa Complessa di Otorinolaringoiatria, Ospedale S. Giuseppe, Milano, Italy.

出版信息

Rhinology. 2011 Jun;49(2):207-13. doi: 10.4193/Rhino09.053.

DOI:10.4193/Rhino09.053

PMID:21743878

Abstract

AIM

To suggest a new classification system for sinonasal papilloma based on a critical analysis of surgical indications and results obtained.

METHODS

We analysed surgical data from 84 cases of sinonasal papilloma treated endoscopically.

RESULTS

In 58 males and 26 females, between 25 and 85 years, the ethmoid sinus (63 cases), the maxillary sinus (43), and the nasal fossa (22) were mostly involved. No case of endocranial extension or carcinoma was reported. Complications were reported in 15.4% of patients, as well as 5 recurrences (5.9%). Median follow up was 39,5 months. To categorise the tumour for the most appropriate surgical treatment, we propose a classification based on 6 main categories that depend on the location, origin and extension of the tumour.

CONCLUSION

The classification that we propose presents advantages for prognosis and surgical indication in comparison with other classifications.

摘要

目的

基于对手术适应证和结果的批判性分析，提出一种新的鼻窦乳头状瘤分类系统。

方法

我们分析了 84 例经内镜治疗的鼻窦乳头状瘤患者的手术资料。

结果

58 例为男性，26 例为女性，年龄 25-85 岁，最常受累的部位为筛窦（63 例）、上颌窦（43 例）和鼻腔（22 例）。无颅内延伸或癌的病例报告。15.4%的患者出现并发症，5 例（5.9%）复发。中位随访时间为 39.5 个月。为了对肿瘤进行最适当的手术治疗分类，我们提出了一种基于 6 个主要类别的分类方法，这些类别取决于肿瘤的位置、起源和扩展。