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Arquivos Internacionais de Otorrinolaringologia 2010; 14(03): 351-354
DOI: 10.1590/S1809-48722010000300013
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Endoscopic Treatment of Sinonasal Papilloma: A Retrospective Clinical Study

Acesso Endoscópico para Tratamento do Papiloma Nasossinusal: Um Estudo Clínico Retrospectivo
Luana Alves de Souza
*   Resident Physician in the second year of Otorhinolaryngology.
,
Raquel Crisóstomo Lima Verde
**   Resident of Otolaryngology at University Hospital Professor Edgard Santos UFBA - 3rd Year.
,
Marcus Miranda Lessa
***   Doctor, Doctor ENT. Research Associate in the Department of Otolaryngology and Immunology at the University Hospital Professor Edgard Santos UFBA.
,
Helio Andrade Lessa
****   Doctor, Doctor ENT. Professor and Head, Department of Otorhinolaryngology, University Hospital Prof. Edgard Santos.
,
Clara Mônica Figueiredo de Lima
*****   Otorhinolaryngologist. Fellow in the Department of Otorhinolaryngology, University Hospital Professor Edgard Santos UFBA.
› Author Affiliations
Further Information

Publication History

14 February 2010

11 July 2010

Publication Date:
12 February 2014 (online)

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Summary

Introduction: Sinonasal Papilloma is a benign tumor originating from the epithelium schneiderian lateral nasal wall. Its incidence is rare and according to literature accounts for 0.5 to 4% of all nasal tumors.

Objective: To report our institution's experience in the treatment of sinonasal inverted papilloma using endoscopic approach and compare the results with the literature.

Methods: A retrospective study of all patients with sinonasal papillomas who underwent a purely endoscopic surgery in the Otorhinolaryngology, Hospital das Clinicas, Federal University of Bahia (UFBA), from January 2004 to May 2010.

Results: A total of 12 patients were included in this study. The median follow-up was 23 months. There was one case of recurrence. Malignant transformation has not occurred in these cases.

Conclusion: The treatment of sinonasal papilloma has been largely benefited from the advances in endoscopic techniques, with recurrence rates equivalent to those reported for external access. Imaging exams are essential in preoperative planning and the decision of surgical technique. A regular follow-up and long term is essential for a good monitoring of the evolution of this pathology.

Resumo

Introdução: Papiloma nasossinusal é um tumor benigno com origem no epitélio schneideriano da parede nasal lateral. Sua incidência é rara e de acordo com a literatura responde por 0,5 a 4% de todos os tumores nasais.

Objetivo: Reportar a experiência da nossa instituição no tratamento do papiloma nasossinusal invertido utilizando acesso endoscópico e comparar os resultados obtidos com os relatos da literatura.

Método: Estudo retrospectivo de todos os pacientes com papiloma nasossinusal que realizaram tratamento cirúrgico puramente endoscópico no ambulatório de Otorrinolaringologia do Hospital das Clínicas da Universidade Federal da Bahia (UFBA), no período de janeiro de 2004 a maio de 2010.

Resultados: Um total de 12 pacientes foi incluído neste estudo. O seguimento médio foi de 23 meses. Houve 1 caso de recidiva. Não ocorreu transformação maligna nestes casos.

Conclusão: O tratamento do papiloma nasossinusal tem sido amplamente beneficiado com o avanço das técnicas endoscópicas, com taxas de recorrência equivalentes àquelas reportadas por acesso externo. Exames de imagem são fundamentais no planejamento pré-operatório e na decisão da técnica cirúrgica. Um seguimento regular e de longo prazo é essencial para um bom acompanhamento da evolução desta patologia.

Keywords

inverted papilloma - paranasal sinuses - paranasal sinus diseases

Palavras-chave

papiloma invertido - seios paranasais - doenças dos seios paranasais
 

  • Bibliographical References

  • 1 Mackle T, Chambon G, Garrel R, Meieff M, Crampette L. Endoscopic treatment of sinonasal papilloma: a 12 year review. Acta Oto-Laryngologica 2008; 128: 670-674
    CrossrefSearch in Google Scholar
  • 2 Buchwald C, Larsen AS. Endoscopic surgery of inverted papillomas under image guidance, a prospective study of 42 consecutive cases at a Danish university clinic. Otolaryngol Head and Neck Surg 2005; 132 (4) 602-607
    CrossrefSearch in Google Scholar
  • 3 Lawson W, Ho BT, Shaari CM, Biller HF. Inverted papilloma: a report of 112 cases. Laryngoscope 1995; 105: 282-8
    CrossrefSearch in Google Scholar
  • 4 Katori H, Tsukuda M. Staging of surgical approach of sinonasal inverted papilloma. Auris Nasus Larynx 2005; 32: 257-63
    CrossrefSearch in Google Scholar
  • 5 Yiotakis J, Hantzakos A, Kandiloros D , et al. A rare location of bilateral inverted papilloma of the nose and paranasal sinuses. Rhinology 2002; 40: 220-222
    Search in Google Scholar
  • 6 Krouse JH. Endoscopic treatment of inverted papilloma: safety and efficacy. Am J Otolaryngol 2001; 22: 87-99
    CrossrefSearch in Google Scholar
  • 7 Krouse JH. Development of staging system for inverted papilloma. Laryngoscope 2000; 110: 965-968
    CrossrefPubMedSearch in Google Scholar
  • 8 Mendenhall WM, Hinerman RW, Malyapa RS. Inverted Papilloma of the Nasal Cavity and Paranasal Sinuses. Am J Clin Oncol 2007; 30: 560-563
    CrossrefSearch in Google Scholar
  • 9 Kraft M, Simmen D, Kaufmann T, Holzmann D. Long-term results of endonasal sinus surgery in sinonasal papillomas. Laryngoscope 2003; 113: 1541-7
    CrossrefSearch in Google Scholar
  • 10 Sachs ME, Conley J, Rabuzzi DD, Blaugrund S, Price J. Degloving approach for total excision of inverted papillomas. Laryngoscope 1984; 94: 1595-8
    Search in Google Scholar
  • 11 Busquets JM, Hwang PH. Endoscopic resection of sinonasal inverted papiloma: a meta-analysis. Otolaryngol Head Neck Surg 2006; 134: 476-482
    CrossrefPubMedSearch in Google Scholar
  • 12 Schlosser RJ, Mason JC, Gross CW. Aggressive endoscopic resection of inverted papilloma: an update. Otolaryngol Head Neck Surg 2001; 125-49-53.
    Search in Google Scholar
  • 13 Sautter NB, Cannady SB, Citardi MJ. Comparison of open versus endoscopic resection of inverted papilloma. Am J Rhinol 2007; 21: 320-323
    CrossrefSearch in Google Scholar
  • 14 Lawson W, Patel ZM. The evolution of management for inverted papilloma: An analysis of 200 cases. Otolaryngol Head Neck Surg 2009; 140: 330-335
    CrossrefPubMedSearch in Google Scholar
  • 15 Durucu C, Baglam T, Karatas E, Mumbuc S, Kanlikama M. Surgical treatment of inverted papilloma. J Craniofac Surg 2009; 20: 1985-1988
    CrossrefSearch in Google Scholar