Premium
Surgical management of inverted papilloma: Approaching a new standard for surgery
Author(s) -
Carta Filippo,
Blancal JeanPhilippe,
Verillaud Benjamin,
Tran Hugo,
Sauvaget Elisabeth,
Kania Romain,
Herman Philippe
Publication year - 2013
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.23159
Subject(s) - inverted papilloma , medicine , surgery , dissection (medical) , papilloma , head and neck , endoscopic surgery , retrospective cohort study , general surgery , endoscopy , pathology
Background Inverted papilloma surgery is currently performed primarily with an endoscopic approach, a technique that has a recurrence rate of 12%. However, a recent study reported a recurrence rate of 5% with a strategy based on subperiosteal dissection of the tumor, with limited indications for using an external approach. The aim of this work was to evaluate whether different teams using the same surgical concepts could reproduce the excellent results that were recently reported. Methods This study is a retrospective chart review of 71 consecutive patients with inverted papilloma who were treated during the last 10 years. Results In all, 80% of the patients were treated using a purely endoscopic approach. The mean follow‐up period was 31.6 months. The recurrence rate was 3.3% for cases with at least a 12‐month follow‐up. Conclusions This work confirms the results described in recent literature and further supports transnasal endoscopic surgery to manage inverted papilloma. © 2012 Wiley Periodicals, Inc. Head Neck 35: 1415–1420, 2013