Salahud Din Ayubi, Nayab Alia, Sohail Ahmed, Saadia Hameed.
Surgical management of inverted papilloma and role of endoscopic sinus surgery.
J Uni Med Dent Coll Jan ;4(2):63-70.

The inverted papilloma is a benign tumor of nose arising from lateral wall, prone to malignancy and having high rate of post operative recurrence. There is much debate in literature whether an endoscopic approach is more beneficial than an external approach. Study design: Retrospective. Material and Methods: Retrospective analysis of patients treated with inverted papilloma operated at two Centres (Fazle Omar Hospital, Chenab Nagar and Madina Teaching Hospital, Faisalabad) from 1999 to 2013. Results: 16 patients records were studied. Three patients (18.75%) had tumor recurrence. All three had recurrent advanced disease (T4) at presentation, one was operated by external approach while other two by combined approach. Discussion: Krouse’s staging system for inverted papilloma can facilitate better treatment planning and comparison of surgical outcomes. Endoscopic sinus surgery is a viable treatment alterative for sino-nasal inverted papilloma with recurrence rates that are comparable to those of more aggressive techniques in cases with same tumor staging. Conclusion: Conservative approach using endoscope can be performed on selected patients with comparable results. The use of endoscope in this type of surgical treatment is an important success factor.

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