Waitz G, Wigand M E
HNO-Klinik, Universität Erlangen-Nürnberg.
HNO. 1990 Jul;38(7):242-6.
Fifty-one patients with inverted papillomas of the nose and paranasal sinuses underwent surgery, 35 by an intranasal endoscopic method and 16 by an extranasal approach. The recurrence rate after endoscopy surgery was 17% (6/35), compared with 19% (3/16) after an external approach. Endoscopic surgery proved to be successful even in large lesions affecting the posterior ethmoid, the sphenoid sinus, or the nasofrontal duct. Therefore, its use does not need to be restricted to limited lesions of the anterior nasal cavity. After intranasal surgery patients with inverted papillomas have a better chance of retaining the bony framework with recovery of the respiratory and olfactory function.
51例鼻及鼻窦内翻性乳头状瘤患者接受了手术治疗，其中35例采用鼻内镜手术方法，16例采用鼻外入路手术。内镜手术后的复发率为17%（6/35），而鼻外入路手术后的复发率为19%（3/16）。事实证明，即使是累及后筛窦、蝶窦或鼻额管的大型病变，内镜手术也能取得成功。因此，其应用无需局限于鼻腔前部的局限性病变。鼻内手术后，内翻性乳头状瘤患者保留骨框架并恢复呼吸和嗅觉功能的机会更大。
