Peter B, Grossenbacher R
Klinik für Ohren-Nasen-Halsheilkunde, Hals- und Gesichtschirurgie, Kantonsspital St. Gallen.
Laryngorhinootologie. 1997 Jan;76(1):14-8. doi: 10.1055/s-2007-997379.
Inverted papilloma is a rare benign tumor of the nose and the paranasal sinuses. There is a controversial discussion concerning the operative approach. The epidemiology, postoperative results, and recurrence rates of endonasally and extranasally operated patients are analysed.
Between 1984 and 1995, 25 patients with inverted papilloma were operated upon at the ENT Department St. Gallen, 18 patients by an endonasal microscopic approach, two by midfacial degloving and five through a lateral rhinotomy.
After a minimal follow-up of 12 months (mean follow-up 52 months), a recurrence rate of 29% for the external approach and 31% for the endonasal approach was observed.
In most cases it is possible to achieve a good result through an endonasal approach. External approaches are recommended in T4-tumors or carcinomas. A longtime follow-up is recommended for each case.
内翻性乳头状瘤是鼻腔和鼻窦的一种罕见良性肿瘤。关于手术方式存在争议性讨论。分析了经鼻内和鼻外手术患者的流行病学、术后结果及复发率。
1984年至1995年间，圣加仑耳鼻喉科对25例内翻性乳头状瘤患者进行了手术，18例采用鼻内镜显微手术，2例采用面中部揭翻术，5例采用鼻侧切开术。
在至少随访12个月（平均随访52个月）后，观察到鼻外手术的复发率为29%，鼻内手术的复发率为31%。
在大多数情况下，通过鼻内手术可以取得良好效果。对于T4期肿瘤或癌，建议采用鼻外手术。建议对每例患者进行长期随访。
