Abstract
The aim of this study was to describe the endoscopic medial maxillectomy technique with preservation of the inferior turbinate in patients affected by maxillary sinonasal inverted papilloma. We retrospectively reviewed the clinical charts and surgical technique in six patients with paranasal sinus inverted papilloma. There were five males and one female, whose mean age at diagnosis was 60 years ranging between 57 and 65 years. No recurrences were diagnosed, and no nasal crusting was evidenced postoperatively. Nasal breathing was satisfying in all cases. Postoperative epistaxis was not observed, and none of the patients refereed to have epiphora after the surgery. This technique has been successfully performed, showing no recurrence to the present and allowing the preservation of a functional inferior turbinate.
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References
Buchwald C, Franzmann MB, Tos M (1995) Sinonasal papillomas: a report of 82 cases in Copenhagen County, including a longitudinal epidemiological and clinical study. Laryngoscope 105(1):72–79
Outzen KE, Grøntveld A, Jørgensen K, Clausen PP, Ladefoged C (1996) Inverted papilloma: incidence and late results of surgical treatment. Rhinology 34(2):114–118
Sauter A, Matharu R, Hörmann K, Naim R (2007) Current advances in the basic research and clinical management of sinonasal inverted papilloma (review). Oncol Rep 17(3):495–504
Llorente JL, Deleyiannis F, Rodrigo JP, Nuñez F, Ablanedo P, Melón S, Suárez C (2003) Minimally invasive treatment of the nasal inverted papilloma. Am J Rhinol 17(6):335–341
Kraft M, Simmen D, Kaufmann T, Holzmann D (2003) Long-term results of endonasal sinus surgery in sinonasal papillomas. Laryngoscope 113(9):1541–1547
Tomenzoli D, Castelnuovo P, Pagella F, Berlucchi M, Pianta L, Delù G, Maroldi R, Nicolai P (2004) Different endoscopic surgical strategies in the management of inverted papilloma of the sinonasal tract: experience with 47 patients. Laryngoscope 114(2):193–200
Von Buchwald C, Larsen AS (2005) Endoscopic surgery of inverted papillomas under image guidance—a prospective study of 42 consecutive cases at a Danish university clinic. Otolaryngol Head Neck Surg 132(4):602–607
Busquets JM, Hwang PH (2006) Endoscopic resection of sinonasal inverted papilloma: a meta-analysis. Otolaryngol Head Neck Surg 134(3):476–482
Pasquini E, Sciarretta V, Farneti G, Modugno GC, Ceroni AR (2004) Inverted papilloma: report of 89 cases. Am J Otolaryngol 25(3):178–185
Gras-Cabrerizo JR, Montserrat-Gili JR, Massegur-Solench H, León-Vintró X, DeJuan J, Fabra-Llopis JM (2010) Management of sinonasal inverted papillomas and comparison of classification staging systems. Am J Rhinol Allergy 24(1):66–69
Krouse JH (2000) Development of a staging system for inverted papilloma. Laryngoscope 110(6):965–968
Cannady SB, Batra PS, Sautter NB, Roh HJ, Citardi MJ (2007) New staging system for sinonasal inverted papilloma in the endoscopic era. Laryngoscope 117(7):1283–1287
Sham CL, Woo JK, van Hasselt CA (1998) Endoscopic resection of inverted papilloma of the nose and paranasal sinuses. J Laryngol Otol 112(8):758–764
Sadeghi N, Al-Dhahri S, Manoukian JJ (2003) Transnasal endoscopic medial maxillectomy for inverting papilloma. Laryngoscope 113(4):749–753
Willatt D (2009) The evidence for reducing inferior turbinates. Rhinology 47(3):227–236
Garth RJ, Cox HJ, Thomas MR (1995) Haemorrhage as a complication of inferior turbinectomy: a comparison of anterior and radical trimming. Clin Otolaryngol Allied Sci 20(3):236–238
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Gras-Cabrerizo, J.R., Massegur-Solench, H., Pujol-Olmo, A. et al. Endoscopic medial maxillectomy with preservation of inferior turbinate: how do we do it?. Eur Arch Otorhinolaryngol 268, 389–392 (2011). https://doi.org/10.1007/s00405-010-1347-3
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DOI: https://doi.org/10.1007/s00405-010-1347-3