Kamel R H
Department of Otolaryngology Head & Neck Surgery, Cairo University, Egypt.
Laryngoscope. 1995 Aug;105(8 Pt 1):847-53. doi: 10.1288/00005537-199508000-00015.
This study comprised 17 cases of inverted papilloma, which were divided into two groups. The first group included 8 cases that lacked maxillary sinus involvement. They were subjected to intranasal endoscopic resection with safety margin. The second group included 9 cases involving the maxillary sinus with or without nasal extension. They were subjected to transnasal endoscopic medial maxillectomy. Follow-up for an average of 43 months in group 1 and 28 months in group 2 (excluding the 5 cases with less than 2 years of follow-up) showed no recurrence. The author realized that inverted papilloma can be divided into two groups from the anatomic and behavioral points of view and accordingly should be managed differently. For those lesions without involvement of the maxillary sinus, intranasal endoscopic resection is effective; for those lesions with maxillary sinus involvement, transnasal medial maxillectomy, which could be performed safely under endoscopic control, is recommended.
本研究纳入17例内翻性乳头状瘤患者，将其分为两组。第一组包括8例未累及上颌窦的患者，对其进行了带安全切缘的鼻内镜切除术。第二组包括9例累及上颌窦且伴有或不伴有鼻腔扩展的患者，对其进行了经鼻内镜内侧上颌骨切除术。第一组平均随访43个月，第二组平均随访28个月（不包括随访时间不足2年的5例患者），均未发现复发。作者认识到，从解剖学和行为学角度来看，内翻性乳头状瘤可分为两组，因此应采取不同的治疗方法。对于那些未累及上颌窦的病变，鼻内镜切除术是有效的；对于那些累及上颌窦的病变，建议采用在内镜控制下可安全实施的经鼻内侧上颌骨切除术。
