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Endoscopic surgery for inverted papilloma originating from the sphenoid sinus and related clinical characteristics.

 Cho HJ  ;  Kim JK, Kim K, Kim YS, Lee JG, Yoon JH 
 ACTA OTO-LARYNGOLOGICA, Vol.128(10) : 1120-1125, 2008 
Journal Title
Issue Date
Adolescent ; Adult ; Aged ; Endoscopy* ; Ethmoid Sinus/pathology ; Ethmoid Sinus/surgery ; Female ; Headache/etiology ; Humans ; Male ; Middle Aged ; Nasal Cavity/pathology ; Nasal Cavity/surgery ; Nasal Obstruction/etiology ; Neoplasm Invasiveness ; Neoplasm Recurrence, Local ; Papilloma, Inverted/diagnosis ; Papilloma, Inverted/surgery* ; Paranasal Sinus Neoplasms/diagnosis ; Paranasal Sinus Neoplasms/surgery* ; Retrospective Studies ; Sphenoid Sinus/pathology ; Sphenoid Sinus/surgery* ; Tomography, X-Ray Computed
Inverted papilloma ; sphenoid sinus ; origin ; recurrence ; endoscopes
CONCLUSIONS: Bony changes on CT imaging of inverted papilloma (IP) are useful for predicting tumor origin and recurrence sites. Because the lateral wall and floor of the sphenoid sinus are the most common origin and recurrence sites, the anterior wall of the sphenoid sinus should be opened as wide as the lateral wall and inferiorly to the level of the floor, especially in deeply pneumatized sphenoid sinuses. OBJECTIVES: The incidence of isolated sphenoid IP is exceedingly low. So far, there have not been studies on the usual origin and recurrence sites of the sphenoid sinus. We sought to identify the sites of origin and recurrence and describe clinical characteristics, radiological features, and proper endoscopic management. PATIENTS AND METHODS: We retrospectively reviewed medical records of patients with IP of the sphenoid sinus. Data collection included clinical presentations, origin and recurrent sites, radiological features, and surgical methods. RESULTS: Seven patients were identified. The most common symptoms were headache and nasal obstruction. Radiological findings showed that most tumors extended into the nasal cavity or ethmoid sinus combined frequently with erosion of the lateral wall or intersinus septum. We noted simultaneous attachment to multiple walls in five subjects, including both lateral wall and floor attachment in three subjects.
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1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyu Bo(김규보)
Kim, Jin(김진)
Yoon, Joo Heon(윤주헌)
Lee, Jeung Gweon(이정권)
Cho, Hyung Ju(조형주) ORCID logo https://orcid.org/0000-0002-2851-3225
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