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Treatment outcomes of sinonasal inverted papillomas according to surgical approaches

Authors
 Won Shik Kim  ;  Dong Woo Hyun  ;  Chang-Hoon Kim  ;  Joo-Heon Yoon 
Citation
 ACTA OTO-LARYNGOLOGICA, Vol.130(4) : 493-497, 2010 
Journal Title
 ACTA OTO-LARYNGOLOGICA 
ISSN
 0001-6489 
Issue Date
2010
MeSH
Adult ; Aged ; Endoscopy/methods ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Otorhinolaryngologic Surgical Procedures/methods* ; Otorhinolaryngologic Surgical Procedures/statistics & numerical data* ; Papilloma, Inverted/epidemiology* ; Papilloma, Inverted/pathology ; Papilloma, Inverted/surgery* ; Paranasal Sinus Neoplasms/epidemiology* ; Paranasal Sinus Neoplasms/pathology ; Paranasal Sinus Neoplasms/surgery* ; Retrospective Studies ; Rhinoplasty/methods ; Time Factors ; Treatment Outcome
Keywords
Midfacial degloving approach ; recurrence rate
Abstract
CONCLUSIONS: The midfacial degloving approach is a favorable option for advanced sinonasal inverted papilloma with a fair recurrence rate, and can replace the lateral rhinotomy approach, which is considered too invasive for benign tumor due to its facial scar. OBJECTIVE: This study aimed to assess the treatment outcomes of advanced sinonasal inverted papillomas according to surgical approaches over a 20-year period. MATERIAL AND METHODS: We retrospectively reviewed clinic, operative, radiologic, and pathologic records of patients with surgically treated sinonasal inverted papilloma, and compared recurrence rates of patients treated with the endoscopic approach, midfacial degloving approach, and lateral rhinotomy approach in each Krouse stage of inverted papilloma. RESULTS: A total of 114 patients were diagnosed and treated surgically for the sinonasal inverted papilloma. The follow-up period ranged from 10 months to 12 years (mean 2.8 years). The overall recurrence rate was 23.7% (27/114). Among the patients classified as Krouse stage III, 33.3% (9/27) of the endoscopic approach group, 11.1% (2/18) of the midfacial degloving approach group, and 25.0% (2/8) of the lateral rhinotomy approach group had recurrences.
Full Text
http://informahealthcare.com/doi/abs/10.3109/00016480903311211
DOI
abs/10.3109/00016480903311211
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Yoon, Joo Heon(윤주헌)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/100898
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