Takahashi Yukiko, Shoji Fumi, Katori Yukio, Hidaka Hiroshi, Noguchi Naoya, Abe Yasuhiro, Kakuta Risako Kakuta, Suzuki Takahiro, Suzuki Yusuke, Ohta Nobuo, Kakehata Seiji, Okamoto Yoshitaka
Division of Otolaryngology, Tohoku Medical and Pharmaceutical University Hospital, 1-12-1, Fukumuro, Miyaginoku, Sendai 983-8512, Japan.
Department of Otolaryngology - Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Otolaryngol Pol. 2016 Nov 10;70(6):26-32. doi: 10.5604/01.3001.0009.3801.
Sinonasal inverted papilloma has been traditionally managed with external surgical approaches. Advances in imaging guidance systems, surgical instrumentation, and intraoperative multi-visualization have led to a gradual shift from external approaches to endoscopic surgery. However, for anatomical and technical reasons, endoscopic surgery of sinonasal inverted papilloma extending to the frontal sinuses is still challenging. Here, we present our experience in endoscopic surgical management of sinonasal inverted papilloma extending to one or both frontal sinuses.
We present 10 cases of sinonasal inverted papilloma extending to the frontal sinuses and successfully removed by endoscopic median drainage (Draf III procedure) under endoscopic guidance without any additional external approach.
The whole cavity of the frontal sinuses was easily inspected at the end of the surgical procedure. No early or late complications were observed. No recurrence was identified after an average follow-up period of 39.5 months.
Use of an endoscopic median drainage approach to manage sinonasal inverted papilloma extending to one or both frontal sinuses is feasible and seems effective.
传统上，鼻窦内翻性乳头状瘤采用外部手术方法治疗。成像引导系统、手术器械和术中多可视化技术的进步已导致从外部手术方法逐渐转向内镜手术。然而，由于解剖学和技术原因，鼻窦内翻性乳头状瘤延伸至额窦的内镜手术仍然具有挑战性。在此，我们介绍我们在内镜手术治疗延伸至一个或两个额窦的鼻窦内翻性乳头状瘤方面的经验。
我们呈现10例延伸至额窦的鼻窦内翻性乳头状瘤病例，在内镜引导下通过内镜正中引流术（Draf III手术）成功切除，无需任何额外的外部手术方法。
手术结束时，额窦的整个腔隙易于检查。未观察到早期或晚期并发症。平均随访39.5个月后未发现复发。
采用内镜正中引流方法治疗延伸至一个或两个额窦的鼻窦内翻性乳头状瘤是可行的，且似乎有效。
