Resection of Inverted Papilloma of the Maxillary Sinus via a Prelacrimal Recess Approach: A Multicenter Retrospective Analysis of Surgical Efficacy

Background The intranasal endoscopic prelacrimal recess approach (PLRA) access to all aspects of the maxillary sinus while preserving the inferior turbinate and nasolacrimal duct and its use have been reported in the treatment of many maxillary sinus and lateral skull base diseases. Objective To retrospectively assess the effectiveness of a 10-year multicenter follow-up for the resection of inverted papilloma of the maxillary sinus (IPMS) via a PLRA. Methods A total of 71 patients were admitted and underwent IPMS excision via an intranasal endoscopic PLRA from 2003 to 2013. All patients underwent high-resolution computed tomography scanning of the nasal sinus, and some also underwent magnetic resonance imaging examination. Results Based on the Krouse staging system, all 71 patients belong to T3 staging. The PLRA was employed to remove IPMS in 71 patients. The postoperative pathological examination of the excised tissue revealed inverted papilloma, and cancerization was identified in 3 patients. The median follow-up time was 37.3 months (range: 13–134 months). Of the 71 patients, reoccurrence was seen in 5 patients (7.04%); 5 patients (7.04%) experienced numbness of the upper lid and the ala of the nose and 4 (5.63%) experienced mild collapse of the ala of the nose. Conclusions These multicenter follow-up results demonstrated that the PLRA is a safe and effective method for the excision of primary or recurrent IPMS with lower postoperative complications and recurrent rate.

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Management of maxillary sinus inverted papilloma via endoscopic partial medial maxillectomy with an inferior turbinate reversing approach

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-017-4749-7 ◽

2017 ◽

Vol 274 (12) ◽

pp. 4155-4159 ◽

Cited By ~ 3

Author(s):

Feng Wang ◽

Yang Yang ◽

Shenqing Wang ◽

Haihong Chen ◽

Dehui Wang ◽

...

Keyword(s):

Maxillary Sinus ◽

Inferior Turbinate ◽

Inverted Papilloma ◽

Medial Maxillectomy

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Surgery of Inverted Papilloma of the Maxillary Sinus via Translacrimal Approach—Long-Term Outcome and Literature Review

Journal of Clinical Medicine ◽

10.3390/jcm8111873 ◽

2019 ◽

Vol 8 (11) ◽

pp. 1873 ◽

Cited By ~ 4

Author(s):

Tanja Hildenbrand ◽

Rainer Weber ◽

Janina Mertens ◽

Boris A. Stuck ◽

Stephan Hoch ◽

...

Keyword(s):

Maxillary Sinus ◽

Inverted Papilloma ◽

Term Outcome ◽

Endoscopic Endonasal ◽

Long Term Outcome ◽

Sinus Disease ◽

Common Benign Tumor ◽

Patient Morbidity

There are several differential diagnoses of unilateral sinus disease. One of these is inverted papilloma (IP) of the maxillary sinus, which is a common benign tumor with a substantial rate of malignant transformation. In general, endoscopic endonasal techniques for addressing the tumor are favored nowadays instead of classical external approaches. The aim of this retrospective study was to investigate the long-term outcome of inverted papilloma treated endoscopically via the prelacrimal approach. We reviewed 17 patients with primary or recurrent IP of the maxillary sinus that were treated via the prelacrimal endoscopic endonasal technique. After a median follow-up period of 45.9 months (3.8 years), none of the 17 included patients showed signs of recurrent disease and no serious complications were reported. Hypoesthesia of the incisors was reported by four patients and was resolved with time in one. All of the maxillary sinuses could be fully visualized with the flexible endoscope. IP is an important differential diagnosis in the clinical finding of unilateral nasal polypoid lesions. The prelacrimal approach is an effective and safe method in the treatment of IP with limited patient morbidity.

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Papiloma Invertido, importancia de la Tomografía Computarizada y Resonancia Magnética en el diagnóstico y extensión // Inverted Papilloma, the importance of Computed Tomography and Magnetic Resonance in diagnosis and extension

Ciencia Unemi ◽

10.29076/issn.2528-7737vol11iss26.2018pp150-160p ◽

2018 ◽

Vol 11 (26) ◽

pp. 150

Author(s):

Enrique-Javier Lucas ◽

Alma Amalia Grinstein ◽

Jorge Cervantes-Coka ◽

Diana Montoya-Estrada ◽

Agostina Bonzani ◽

...

Keyword(s):

Computed Tomography ◽

Magnetic Resonance ◽

Maxillary Sinus ◽

Inverted Papilloma ◽

Nasal Fossa ◽

Imaging Method ◽

History Of ◽

The Right ◽

Expansive Lesion

Demostrar la importancia de la Tomografía computarizada (TC) y Resonancia Magnética (RM) en el diagnóstico, extensión y seguimiento de los pacientes con papiloma invertido (PI). Paciente femenino de 64 años, con antecedentes de sinusitis alérgica recurrente, que consulta por obstrucción nasal bilateral a predominio izquierdo, asociada a rinorrea purulenta y rinolalia de cinco meses de evolución. Se le realiza TC y RM de Macizo Cráneo facial (MCF). La TC demuestra formación de densidad de partes blandas ubicada en fosa nasal y seno maxilar derecho que se extiende hacia celdillas etmoidales bilaterales, seno frontal y seno esfenoidal derecho. La RM evidencia lesión expansiva sólida ubicada sobre seno maxilar derecho, que se extiende excavando la pared interna del mismo hacia fosa nasal homolateral. El PI es una neoplasia nasal que se caracteriza por su crecimiento invertido hacia el estroma. Es un tumor benigno que presenta una incidencia anual del 1 % promedio por cada 100.000 habitantes. La TC es el método imagenológico de elección para el diagnóstico de PI, siendo también útil en la valoración de la extensión en la fase preoperatoria. El diagnóstico de certeza lo determina la histopatología. La RM representa un método de gran utilidad en el seguimiento postoperatorio. AbstractDemonstrating the importance of Computed Tomography (CT) and Magnetic Resonance (MRI) in the diagnosis, extension and follow-up of patients with inverted papilloma (IP) of a 64-year-old female patient with a history of recurrent allergic sinusitis who consults for bilateral nasal obstruction and left predominance associated with purulent rhinorrhea and rhinolalia of five months of evolution. CT and MRI of CranioFacial Massif (CFM) were performed. CT demonstrated soft tissue density formation located in the nasal fossa and right maxillary sinus extending to bilateral ethmoidal cells, frontal sinus and right sphenoid sinus. MRI showed solid expansive lesion located on the right maxillary sinus, extending through its inner wall to the homolateral nasal fossa. IP is a nasal neoplasm that is characterized by its inverse growth towards the stroma. It is a benign tumor that presents an annual incidence of 1% average per 100,000 inhabitants. CT is the imaging method of choice for the diagnosis of IP, and it is also useful in assessing extension in the preoperative phase. A thorough diagnosis is determined by histopathology. MRI represents a very useful method in postoperative follow-up.

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Modification of endoscopic medial maxillectomy: a novel approach for inverted papilloma of the maxillary sinus

The Journal of Laryngology & Otology ◽

10.1017/s0022215114003144 ◽

2015 ◽

Vol 129 (2) ◽

pp. 159-163 ◽

Cited By ~ 14

Author(s):

A Ghosh ◽

S Pal ◽

A Srivastava ◽

S Saha

Keyword(s):

Computed Tomography ◽

Nasal Cavity ◽

Maxillary Sinus ◽

Inverted Papilloma ◽

En Bloc ◽

Presenting Symptoms ◽

Novel Approach ◽

Computed Tomography Scanning ◽

Medial Maxillectomy ◽

Enhanced Computed Tomography

AbstractObjective:To describe modification to endoscopic medial maxillectomy for treating extensive Krouse stage II or III inverted papilloma of the nasal and maxillary sinus.Method:Ten patients with inverted papilloma arising from the nasoantral area underwent diagnostic nasal endoscopy, contrast-enhanced computed tomography scanning of the paranasal sinus and pre-operative biopsy of the nasal mass. They were all managed using endoscopic medial maxillectomy and followed up for seven months to three years without recurrence.Results:Most patients were aged 41–60 years at presentation, and most were male. Presenting symptoms were nasal obstruction, mass in the nasal cavity and epistaxis. In each case, computed tomography imaging showed a mass involving the nasal cavity and maxillary sinus, with bony remodelling. The endoscopic medial maxillectomy approach was modified by making an incision in the pyriform aperture and removing part of the anterolateral wall of the maxilla bone en bloc.Conclusion:Modified endoscopic medial maxillectomy providing full access to the maxillary and ethmoid sinuses is described in detail. This effective, reproducible technique is associated with reduced operative time and morbidity.

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Endoscopic Modified Medial Maxillectomy for Resection of an Inverted Papilloma Originating from the Entire Circumference of the Maxillary Sinus

Case Reports in Otolaryngology ◽

10.1155/2015/952923 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6

Author(s):

Kota Wada ◽

Takashi Ishigaki ◽

Yutaro Ida ◽

Yuki Yamada ◽

Sachiko Hosono ◽

...

Keyword(s):

Maxillary Sinus ◽

Surgical Approach ◽

Staging System ◽

Inferior Turbinate ◽

Nasolacrimal Duct ◽

Inverted Papilloma ◽

Sinonasal Inverted Papilloma ◽

Medial Maxillectomy ◽

Magnetic Resonance Imaging Mri ◽

Modified Medial Maxillectomy

For treatment of a sinonasal inverted papilloma (IP), it is essential to have a definite diagnosis, to identify its origin by computed tomography (CT) and magnetic resonance imaging (MRI), and to select the appropriate surgical approach based on the staging system proposed by Krouse. Recently, a new surgical approach named endoscopic modified medial maxillectomy (EMMM) was proposed. This approach can preserve the inferior turbinate and nasolacrimal duct. We successfully treated sinonasal IP with EMMM in a 71-year-old female patient. In this patient, the sinonasal IP originated from the entire circumference of the maxillary sinus. EMMM is not a difficult procedure and provides good visibility of the operative field. Lacrimation and empty nose syndrome do not occur postoperatively as the nasolacrimal duct and inferior turbinate are preserved. EMMM is considered to be a very favorable approach for treatment of sinonasal IP.

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Transnasal endoscopic medial maxillectomy in recurrent maxillary sinus inverted papilloma

Rhinology Journal ◽

10.4193/rhino13.230 ◽

2014 ◽

Vol 52 (4) ◽

pp. 381-385

Author(s):

Reda H. Kamel ◽

Ahmed F. Abdel Fattah ◽

Ayman G. Awad

Keyword(s):

Maxillary Sinus ◽

Endoscopic Resection ◽

Inverted Papilloma ◽

Primary Surgery ◽

High Incidence ◽

Prior Surgery ◽

Medial Maxillectomy ◽

Midfacial Degloving ◽

The Impact

Background: Maxillary sinus inverted papilloma entails medial maxillectomy and is associated with high incidence of recurrence. Objective: To study the impact of prior surgery on recurrence rate after transnasal endoscopic medial maxillectomy. Methodology: Eighteen patients with primary and 33 with recurrent maxillary sinus inverted papilloma underwent transnasal endoscopic medial maxillectomy. Caldwell-Luc operation was the primary surgery in 12 patients, transnasal endoscopic resection in 20, and midfacial degloving technique in one. The follow-up period ranged between 2 to 19.5 years with an average of 8.8 years. Results: Recurrence was detected in 8/51 maxillary sinus inverted papilloma patients (15.7 %), 1/18 of primary cases (5.5 %), 7/33 of recurrent cases (21.2 %); 3/20 of the transnasal endoscopic resection group (15%) and 4/12 of the Caldwell-Luc group (33.3%). Redo transnasal endoscopic medial maxillectomy was followed by a single recurrence in the Caldwell-Luc group (25%), and no recurrence in the other groups. Conclusion: Recurrence is more common in recurrent maxillary sinus inverted papilloma than primary lesions. Recurrent maxillary sinus inverted papilloma after Caldwell-Luc operation has higher incidence of recurrence than after transnasal endoscopic resection.

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