Open AccessTransnasal endoscopic medial maxillectomy in recurrent maxillary sinus inverted papilloma
Author(s) -
Rasha Kamel,
Ahmed F. Abdel Fattah,
Ayman Awad
Publication year - 2014
Publication title -
rhinology (amsterdam. online)/rhinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.275
H-Index - 57
eISSN - 1996-8604
pISSN - 0300-0729
DOI - 10.4193/rhino13.230
Subject(s) - medicine , inverted papilloma , maxillary sinus , surgery , papilloma , sinus (botany) , incidence (geometry) , botany , physics , pathology , optics , biology , genus
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.