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Clinical outcomes of sinonasal inverted papilloma: a retrospective analysis of 139 cases

Published online by Cambridge University Press:  06 March 2023

S Yeom ,
D H Lee Open the ORCID record for D H Lee [Opens in a new window]  and
S C Lim
S Yeom
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
D H Lee*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
S C Lim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
*
Corresponding author: Prof Dong Hoon Lee; Email: [email protected]
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Abstract

Objectives

Sinonasal inverted papilloma has a high tendency for recurrence, local bone destruction and risk of malignant transformation. Therefore, complete resection of the tumour is required, and close follow up is essential. This article describes the clinical outcomes, recurrence rate and malignant transformation rate of sinonasal inverted papilloma.

Methods

In this study, 139 patients diagnosed with sinonasal inverted papilloma in our hospital from December 2010 to May 2022 were retrospectively analysed. All patients underwent endoscopic surgery.

Results

Sinonasal inverted papilloma occurred more often in males than in females. The mean age of patients with sinonasal inverted papilloma was 67.3 ± 5.7 years at diagnosis. The most prevalent site of origin was the maxillary sinus (50.4 per cent). The recurrence rate was 5.75 per cent, and the malignant transformation rate was 6.5 per cent.

Conclusion

All patients in this study underwent endoscopic surgery. Meticulous resection and regular long-term follow ups are crucial to reducing sinonasal inverted papilloma recurrence after surgery.

Keywords

Papilloma, invertedparanasal sinusesparanasal sinus neoplasmsrecurrencemalignancynatural orifice endoscopic surgery
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 10 , October 2023 , pp. 1154 - 1157
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Prof D H Lee takes responsibility for the integrity of the content of the paper

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