Nakamaru Yuji, Suzuki Masanobu, Shizuki Ken, Honma Aya, Nakazono Akira, Kimura Shogo, Watanabe Ryosuke, Kano Satoshi, Tsushima Nayuta, Suzuki Takayoshi, Homma Akihiro
Faculty of Medicine and Graduate School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Hokkaido University, Sapporo, Japan.
Department of Otolaryngology, Tomakomai City Hospital, Tomakomai, Japan.
SAGE Open Med. 2024 Aug 20;12:20503121241271877. doi: 10.1177/20503121241271877. eCollection 2024.
We developed a technique to preserve the entire nasolacrimal duct and inferior turbinate, by swinging the nasolacrimal duct upward and the inferior turbinate backward; that is, a nasolacrimal duct and inferior turbinate swing technique for sinonasal inverted papilloma of the maxillary sinus. In this study, we evaluated the long-term results of this technique.
A retrospective analysis was performed on the data for 53 consecutive pathologically confirmed inverted papilloma patients who were treated using nasolacrimal duct and inferior turbinate swing technique. The frequency of recurrence, the degree of nasolacrimal duct and inferior turbinate preservation, and the frequency of adverse events were assessed.
The median follow-up period was 51 months (mean 62.5 months; range 10-187 months). No cases of recurrence within the maxillary sinus were observed among the cases treated using this technique, whereas three (5.7%) of the 53 cases experienced recurrence in areas other than the maxillary sinus. We could preserve the nasolacrimal duct in all cases. On the other hand, the inferior turbinate was resected during surgery in one case. No epiphora, dacryocystiits, numbness of the cheek, or collapse of the ala of the nose was observed.
This nasolacrimal duct and inferior turbinate swing technique method is a safe and effective method for the excision of primary or recurrent inverted papilloma and demonstrates low rates of recurrence and complications.
我们开发了一种通过向上摆动鼻泪管和向后摆动下鼻甲来保留整个鼻泪管和下鼻甲的技术；即用于上颌窦鼻窦内翻性乳头状瘤的鼻泪管和下鼻甲摆动技术。在本研究中，我们评估了该技术的长期效果。
对连续53例经病理证实采用鼻泪管和下鼻甲摆动技术治疗的内翻性乳头状瘤患者的数据进行回顾性分析。评估复发频率、鼻泪管和下鼻甲保留程度以及不良事件发生频率。
中位随访期为51个月（平均62.5个月；范围10 - 187个月）。采用该技术治疗的病例中未观察到上颌窦内复发的情况，而53例中有3例（5.7%）在除上颌窦以外的区域出现复发。所有病例均能保留鼻泪管。另一方面，1例患者在手术中切除了下鼻甲。未观察到溢泪、泪囊炎、面颊麻木或鼻翼塌陷。
这种鼻泪管和下鼻甲摆动技术是一种安全有效的切除原发性或复发性内翻性乳头状瘤的方法，复发率和并发症发生率较低。
