Raveh E, Feinmesser R, Shpitzer T, Yaniv E, Segal K
Department of Otolaryngology, Rabin Medical Center, Petah Tikva, Israel.
Isr J Med Sci. 1996 Dec;32(12):1163-7.
Over a period of 32 years, 56 patients with inverted papilloma of the nasal cavity and paranasal sinuses were diagnosed and treated at Beilinson Medical Center, Israel. Four patients (7%) had an associated malignancy. Several surgical approaches were used: limited intranasal excision in 5 patients with an 80% failure rate, a Caldwell-Luc approach in 21 patients with a 48% recurrence rate, and lateral rhinotomy with medial maxillectomy in 18 patients with only a 22% failure rate; a selected group of 9 patients underwent an endoscopic procedure, with a 22% recurrence rate. Our results and a review of 19 published reports suggest that medial maxillectomy via lateral rhinotomy remains the treatment of choice for most cases of inverted papilloma. The role of endoscopic excision in selected patients is discussed.
在32年的时间里，以色列贝林森医疗中心诊断并治疗了56例鼻腔及鼻窦内翻性乳头状瘤患者。4例（7%）伴有恶性肿瘤。采用了几种手术方法：5例患者行有限鼻内切除术，失败率为80%；21例患者行柯-陆氏手术，复发率为48%；18例患者行鼻侧切开术加内侧上颌骨切除术，失败率仅为22%；9例患者接受了内镜手术，复发率为22%。我们的研究结果以及对19篇已发表报告的综述表明，鼻侧切开术加内侧上颌骨切除术仍是大多数内翻性乳头状瘤病例的首选治疗方法。本文还讨论了内镜切除术在特定患者中的作用。
