Nasosinusal inverted papilloma: A review of eight years
DOI:
https://doi.org/10.34631/sporl.556Keywords:
nasosinusal inverted papilloma, nasal benign tumor, endoscopic sinus surgeryAbstract
Objectives: To analyze a case series of nasosinusal inverted papilloma (NIP) at Hospital Garcia de Orta. Methods: Retrospective study of the NIP cases diagnosed between 2007 and 2014. Epidemiological, clinical and therapeutic parameters were analyzed.
Results: There were 13 cases of NIP, predominantly male (61.54%) with mean age of 57.4 ± 15.0 years. The most frequent presurgical symptom was unilateral nasal obstruction in 77% of cases. There were no cases of bilateral NIP. The recurrence was 30.8%, with first recurrence mean time of 22 months, being the nasal endoscopic surgery the choice approach (61,5%). In a case, malignant transformation of NIP was found (7.7%).
Conclusion: Inverted papilloma is a tumor with nonspecific symptoms. Endoscopic treatment of NIP is increasingly being accepted as the first-line surgical technique to which an external approach may be associated. Annual endoscopic and surveillance is recommended for several years in order to early detect possible recurrences.
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