McCary W S, Gross C W, Reibel J F, Cantrell R W
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health Sciences Center, Charlottesville 22908.
Laryngoscope. 1994 Apr;104(4):415-9. doi: 10.1288/00005537-199404000-00004.
Since January 1977, twenty-four patients with inverting papilloma of the nose and paranasal sinuses have been treated at the University of Virginia. Two patients had bilateral disease, for a total of 26 surgically treated sides. Patients were aged from 10 to 83 years, and 71% were male. Most tumors originated on the lateral nasal wall, with 62% involving the adjacent sinuses. Nineteen sides were treated by external approach and 7 were treated intranasally. There was a total of 5 recurrences in 4 patients and no associated squamous cell carcinomas. Seven patients were treated with endoscopic excision (4 primary tumors and 3 recurrences). There have been no recurrences since endoscopic treatment. These preliminary data give further evidence that endoscopic excision is a viable surgical option for many inverting papillomas.
自1977年1月以来，弗吉尼亚大学共治疗了24例鼻及鼻窦内翻性乳头状瘤患者。其中2例为双侧患病，共计26侧接受了手术治疗。患者年龄在10岁至83岁之间，71%为男性。大多数肿瘤起源于鼻侧壁，62%累及相邻鼻窦。19侧采用外部入路治疗，7侧采用鼻内治疗。4例患者共出现5次复发，未伴有鳞状细胞癌。7例患者接受了内镜下切除治疗（4例原发性肿瘤和3例复发病例）。内镜治疗后未再出现复发。这些初步数据进一步证明，内镜下切除是许多内翻性乳头状瘤可行的手术选择。
