scholarly journals Sinonasal Inverted Papilloma

2013 ◽  
Vol 34 (2) ◽  
pp. 10-13
Author(s):  
N Thapa ◽  
B Pradhan

Introduction: Sinonasal inverted papilloma is a rare tumour comprising about 0.5-4% of total nose and paranasal sinus tumours. Though various factors have been implicated its exact cause is unknown. This longitudinal, prospective study was carried out to nd out demographical prole, association of this tumour with smoking, occupation, variation with ethnic races and outcome of surgery. Methods: This study was carried out in the department of ENT-HNS, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu from April, 2005 to March, 2011. Result: Out of 34 patients, there were 25 male and 9 female with ratio of 2.78:1. Age of the patients ranged from 14-76 years with median age of 51.5±2.74 SE years. Disease was more common in 4th to 7th decade. It was common in farmers (20). Eighteen patients were smoker and 16 nonsmoker. The disease was more common in mongoloids than in Indo-aryans. Out of 16 patients having stage III disease, 9 were smoker and 7 nonsmoker. Eighteen patients underwent endoscopic medial maxillectomy and 15 patients underwent medial maxillectomy via lateral rhinotomy approach. One patient who had bilateral disease underwent medial maxillectomy via lateral rhinotomy on the left side and endoscopically on the right side. There was recurrence of tumour in 2 patients who underwent surgery via lateral rhinotomy approach whereas in 1 patient who underwent surgery endoscopically. Conclusion: This study showed that sinonasal inverted papilloma was common in mongoloids than in Indo-aryans and farmers but no association with smoking. Endoscopic medial maxillectomy has less reccurence of tumour in comparison to lateral rhinotomy approach. DOI: http://dx.doi.org/10.3126/joim.v34i2.9044 Journal of Institute of Medicine August, 2012; 34:2 10-13

2003 ◽  
Vol 113 (5) ◽  
pp. 867-873 ◽  
Author(s):  
Peter John Wormald ◽  
Eng Ooi ◽  
C. Andrew van Hasselt ◽  
Salil Nair

2020 ◽  
Vol 4 (5) ◽  
pp. 01-04
Author(s):  
Filippo Confalonieri

Backgorund: Sinonasal inverted papilloma (SIP) is a benign tumor of the nasal cavity and sinus. It is characterized by aggressive malignant transformation and a high rate of recurrence. Inadequate removal of the tumor during surgery is one of the most significant contributors to recurrence. SIP has been reported to rarely occur in conjunction with Squamous Cell Carcinoma (SCC) invading the lacrimal drainage system and the orbit. The mechanism of this secondary SCC transformation has yet to be explained. Case presentation: Herein, the authors present the case of a 66-year-old woman with a rapidly enlarging sinonasal inverted papilloma with secondary squamous cell carcinoma of the right nasal cavity presenting with epiphora. Conclusions: Nasolacrimal duct obstructions require a thorough examination as it may hide a malignant pathology.


2012 ◽  
Vol 105 (3) ◽  
pp. 249-255
Author(s):  
Kazuhiko Minami ◽  
Kazuyuki Ichimaru ◽  
Tetsuya Tamura ◽  
Shinichi Sato ◽  
Tomoyuki Haji

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Kota Wada ◽  
Takashi Ishigaki ◽  
Yutaro Ida ◽  
Yuki Yamada ◽  
Sachiko Hosono ◽  
...  

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.


2018 ◽  
Vol 1 (1) ◽  
pp. 20-24
Author(s):  
Shyam Thapa Chettri ◽  
S Karki ◽  
SP Shah ◽  
BP Sah ◽  
S Manandar ◽  
...  

Background: Traditionally, medial maxillectomy was performed through lateral rhinotomy or mid facial degloving approach for inverted papilloma. Endoscopic medial maxillectomy, since reported first in 1992, has advanced tremendously and has been advocated by a number of authors for the fact that it prevents the morbidity of open approach with a similar recurrence rate. We present our experience of endoscopic medial maxillectomy for sinonasal inverted papilloma.Aims and Objective: To highlight the treatment of inverted papilloma through transnasal endoscopic approach.Methods: This study is a retrospective chart review of 18 patients out of 23 patients of which 5 were lost on follow-up with inverted papilloma who were treated during the last 2 years. Preoperative diagnosis was made on histopathological examination and Krouse staging in CT scans of paranasal sinus was used to estimate the extent of the disease. Then, surgical approach was decided. Post-operative follow up was done by performing direct nasal endoscopy. All patients were followed up for a minimum period of 1 year.Results: Among the 18 patients who underwent endoscopic medial maxillectomy, sex (male : female) ratio were 1.25: 1, age ranged from 24 yrs to 69 yrs with average being 41.7 yrs. According to Krouse staging, 2 patients were in Stage I, 9 patients in Stage II and 7 patients in Stage III. The laterality of the lesion was more on the right. The commonest site of attachment was found to be the lateral wall of nose. The average duration of hospital stay was 4 days. The commonest complication was nasal crusting and the recurrence rate was 11.11%.Conclusion: This work confirms the results described in recent literature and further supports transnasal endoscopic surgery to manage inverted papilloma.Journal of BP Koirala Institute of Health Sciences, Vol. 1, No. 1, 2018, Page: 20-24


1970 ◽  
Vol 31 (3) ◽  
pp. 59-60
Author(s):  
P. Adhikari ◽  
R. Bhatta ◽  
B. Pradhan ◽  
N. Thapa ◽  
R. Bhandari ◽  
...  

Extrapulmonary small cell carcinoma is a rare entity. Here, we report a case of small cell carcinoma of left ethmoid sinus, in a 32 years old female. She underwent left medial maxillectomy and excision of the mass via lateral rhinotomy approach with post operative chemoradiation. Keywords: Ethmoid Sinus, lateral rhinotomy, maxillectomy, small cell carcinoma. DOI: 10.3126/joim.v31i3.2999Journal of Institute of Medicine, December, 2009; 31(3) 59-60


2014 ◽  
Vol 75 (S 01) ◽  
Author(s):  
R. Manes ◽  
William Scott ◽  
Samuel Barnett ◽  
Pete Batra

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