Miłoński Jarosław, Kuśmierczyk Krzysztof, Urbaniak Joanna, Pietkiewicz Piotr, Olszewski Jurek
Klinika Otolaryngologii i Onkologii Laryngologicznej II Katedry Otolaryngologii UM w Łodzi Kierownik: prof. dr hab. med. J. Olszewski, Łódź, Polska.
Klinika Otolaryngologii i Onkologii Laryngologicznej II Katedry Otolaryngologii UM w Łodzi Kierownik: prof. dr hab. med. J. Olszewski, Łódź, Polska.
Otolaryngol Pol. 2014 Sep-Oct;68(5):252-7. doi: 10.1016/j.otpol.2014.02.003. Epub 2014 Feb 28.
The aim of this work was to analyze the occurrence of inverted papilloma within the nose and paranasal sinuses, the extent of lesions and the clinical course in the patients who underwent endoscopic surgery.
Between the years of 2006-2012, at the Department of Otolaryngology and Laryngological Oncology, 2295 patients were subjected to surgery due to paranasal sinus diseases. The material was based on their past medical histories. The analysis includes the age and gender of the patients, the type of surgery, and results of histopathological examinations. A surgical procedure covered the paranasal sinuses with lesions diagnosed in CT. The qualified patients had inverted papilloma in histopathological results.
Among 2295 patients who were operated because of chronic inflammatory changes, inverted papilloma was histopathologically diagnosed in 49 cases. In 16 patients with inverted papilloma, inflammatory changes were present on one side only, while in 33 cases inverted papilloma was confirmed histopathologically on one side. The analysis of age and gender of the study group showed that the highest occurrence of inverted papilloma was in patients over 50 years of age. In the majority of the studied cases, inverted papilloma spread in the middle nasal concha and the maxillary or ethmoid sinus.
In surgery, the endoscopic technique allows for an effective removal of inverted papilloma from the nose and paranasal sinuses. According to the authors, endoscopy is the most valuable method for post-operative monitoring of recurrent inverted papilloma.
本研究旨在分析鼻腔及鼻窦内倒置性乳头状瘤的发病情况、病变范围以及接受内镜手术患者的临床病程。
2006年至2012年间，在耳鼻咽喉科及喉肿瘤学系，2295例因鼻窦疾病接受手术的患者纳入研究。材料基于他们既往的病史。分析内容包括患者的年龄和性别、手术类型以及组织病理学检查结果。手术操作覆盖CT诊断有病变的鼻窦。符合条件的患者组织病理学结果显示为倒置性乳头状瘤。
在2295例因慢性炎症改变接受手术的患者中，49例经组织病理学诊断为倒置性乳头状瘤。16例倒置性乳头状瘤患者仅一侧存在炎症改变，33例经组织病理学证实倒置性乳头状瘤位于一侧。研究组年龄和性别的分析显示，倒置性乳头状瘤在50岁以上患者中发病率最高。在大多数研究病例中，倒置性乳头状瘤蔓延至中鼻甲以及上颌窦或筛窦。
在手术中，内镜技术能够有效切除鼻腔及鼻窦内的倒置性乳头状瘤。作者认为，内镜检查是术后监测复发性倒置性乳头状瘤最有价值的方法。
