Volume 35, Issue 10 pp. 1415-1420
Original Article

Surgical management of inverted papilloma: Approaching a new standard for surgery

Filippo Carta MD

Filippo Carta MD

Assistance Publique–Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France

Search for more papers by this author
Jean-Philippe Blancal MD

Jean-Philippe Blancal MD

Assistance Publique–Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France

Search for more papers by this author
Benjamin Verillaud

Benjamin Verillaud

Assistance Publique–Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France

Search for more papers by this author
Hugo Tran MD

Hugo Tran MD

Assistance Publique–Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France

Search for more papers by this author
Elisabeth Sauvaget MD

Elisabeth Sauvaget MD

Assistance Publique–Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France

Search for more papers by this author
Romain Kania MD

Romain Kania MD

Assistance Publique–Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France

Search for more papers by this author
Philippe Herman MD, PhD

Corresponding Author

Philippe Herman MD, PhD

Assistance Publique–Hôpitaux de Paris, Department of Ear, Nose and Throat, Hôpital Lariboisière, Université Paris-Diderot, Paris, France

Hôpital Lariboisiere, Service ORL, Paris, France. E-mail: [email protected]Search for more papers by this author
First published: 24 September 2012
Citations: 39

Abstract

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

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.