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Ungari C, Riccardi E, Reale G, et al. Management and treatment of sinonasal inverted papilloma. Ann Stomatol (Roma). 2016;6(3):87-90doi: 10.11138/ads/2015.6.3.087.
Ungari, C., Riccardi, E., Reale, G., Agrillo, A., Rinna, C., Mitro, V., & Filiaci, F. (2015). Management and treatment of sinonasal inverted papilloma. Annali di stomatologia, 6(3), 87-90. https://doi.org/10.11138/ads/2015.6.3.087
Ungari, Claudio, et al. "Management and treatment of sinonasal inverted papilloma." Annali di stomatologia vol. 6,3 (2015): 87-90. doi: https://doi.org/10.11138/ads/2015.6.3.087
Ungari C, Riccardi E, Reale G, Agrillo A, Rinna C, Mitro V, Filiaci F. Management and treatment of sinonasal inverted papilloma. Ann Stomatol (Roma). 2016 Feb 12;6(3):87-90. doi: 10.11138/ads/2015.6.3.087. eCollection 2015. PMID: 26941894; PMCID: PMC4755686.
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Ann Stomatol (Roma). 2016 Feb 12;6(3):87-90. doi: 10.11138/ads/2015.6.3.087. eCollection 2015.

Management and treatment of sinonasal inverted papilloma.

Annali di stomatologia

Claudio Ungari, Emiliano Riccardi, Gabriele Reale, Alessandro Agrillo, Claudio Rinna, Valeria Mitro, Fabio Filiaci

Affiliations

  1. Department of Oral and Maxillo-Facial Sciences, "Sapienza" University of Rome, Italy.
  2. Department of Maxillo-Facial Surgery, Policlinico Umberto I, "Sapienza" University of Rome, Italy.

PMID: 26941894 PMCID: PMC4755686 DOI: 10.11138/ads/2015.6.3.087

Abstract

AIMS: The aim of this paper is to describe the surgical experience of 35 patients with Inverted Papilloma (IP) of paranasal sinuses and its recurrence rate after a year of follow-up.

MATERIALS: A retrospective chart review was performed on patients presenting with IP of paranasal sinuses. Thirty-five patients comprised the focus of this study. For all patients was performed a pre-surgery TC, and for more 5 patients it was necessary to perform a Magnetic Resonance (MR) with gadolinium.

RESULTS: Among 35 patients selected, 18 patients underwent to open surgery, 4 patients had a combined approach with endoscopy and open surgery, while 13 patients were managed only with an endoscopic approach, with a minimum of 1 year of follow-up. Our results highlighted that the global percentage of success 12 months after the treatment was 93% and it not vary according to the tipology of the approach used if a radical excision of the lesion is achieved. More in depth, among 35 cases, only 2 patients were found to have recurrences and were treated with coronal and endoscopic approach.

CONCLUSION: It is fundamental to underline that surgery must be carried on in a radical manner to treat these tend to recur. A complete removal of the lesion and bone peripheral border filing are essential to perform a correct and definitive treatment. Also, endoscopic approach can be taken into account when tumors are localized median to a sagittal plan crossing the orbit median wall and when they did not massively compromised paranasal sinus walls.

Keywords: inverted papilloma; papilloma diagnosis; papilloma surgery; sinus endoscopic surgery; sinus open surgery

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