Panda Naresh K, Saravanan K, Verma R K, Mahesha Vankalakunti
Department of Otolaryngology, Head and Neck surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India 160 012.
Indian J Otolaryngol Head Neck Surg. 2007 Dec;59(4):369-73. doi: 10.1007/s12070-007-0105-3. Epub 2007 Dec 11.
The ideal management of bilateral, recurrent inverted papillomas is intriguing and often controversial. We describe the ideal management of such tumors.
Retrospective, case series
The three patients in this series inspite of several surgical procedures in the past had recurrences and behaved in an aggressive fashion. The patients underwent surgical excision by either bilateral lateral rhinotomy, midfacial degloving or craniofacial approaches.
One patient who underwent excision by midfacial degloving approach had recurrence. This was removed by lateral rhinotomy approach. Two patients were subjected to radiotherapy due to the presence of mitotic figures on histopathology. All the patients are asymptomatic at 6 months follow-up.
Aggressive inverted papillomas may have varied presentation. They could have multiple recurrences, bilateral presentation or intracranial extension. They can be effectively managed with bilateral lateral rhinotomy or cranio-facial resection. Adjuvant radiotherapy has a role in controlling recurrences.
双侧复发性内翻性乳头状瘤的理想治疗方法引人关注且常具争议性。我们描述此类肿瘤的理想治疗方法。
回顾性病例系列
本系列中的三名患者尽管过去进行了多次外科手术，但仍有复发且病情呈侵袭性。患者接受了双侧鼻侧切开术、面中部掀翻术或颅面入路的手术切除。
一名接受面中部掀翻术切除的患者复发。通过鼻侧切开术将其切除。两名患者因组织病理学上出现有丝分裂象而接受放疗。所有患者在6个月随访时均无症状。
侵袭性内翻性乳头状瘤可能有多种表现形式。它们可能多次复发、双侧出现或向颅内扩展。双侧鼻侧切开术或颅面切除术可有效治疗这些肿瘤。辅助放疗在控制复发方面有作用。
