Korean J Otolaryngol-Head Neck Surg.
1997 Aug;40(8):1097-1102.
Treatment of Inverted Papilloma: A Comparision of Extranasal Operation and Conservative Surgery Using Nasal Endoscope
- Affiliations
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- 1Department of Otorhinolaryngology, School of Medicine, Chonbuk National University, Chonju, Korea.
- 2Department of Otolaryngology, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
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BACKGROUND: Inverted papilloma is a benign neoplastic lesion which shows high recurrence rate and possibility of association with malignancy. Medial maxillectomy has been preferred as a treatment of choice, for conservative treatments resulted in higher recurrence rate. However, introduction of nasal endoscope made more precise evaluation of intranasal lesion under brighter illumination.
OBJECTIVES
Aim of this study was to compare the recurence rate between medial maxillectomy and conservative surgery using nasal endoscope. MATERIAL AND METHODS: Thirty one patients who underwent operation between 1980 and 1995 were retrospectively studied.
RESULTS
Fifteen patients were treated via external approach and sixteen patients endoscopically. Inverted papilloma was recurred in two cases of endoscopic surgery group and one case of external surgery group.
CONCLUSION
Endoscopic conservative surgery can be an alternative surgical modality in the selected cases.
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