Browse by author
Lookup NU author(s): Dr Petros Karkos, Sean Carrie
Full text for this publication is not currently held within this repository. Alternative links are provided below where available.
Inverted nasal papilloma is a unique neoplasm characterised by a tendency to recur following excision, an association with malignancy and an ability to destroy bone. The coexistence with nasal polyps (not always sent for histology), the lack of a universally accepted staging system and the fact that most data on Inverted papilloma come from tertiary centres (selected cases probably the most aggressive) account for the difficulty in determining its true incidence. Treatment is surgical. The gold standard approach was an open radical procedure. The introduction of endoscopic surgery for primary or recurrent lesions has shown potential advantages. Lack of complications of open surgery together with improved access to specific nasal areas suggests that the endoscopic techniques in experienced hands and for selected lesions may be a good alternative. The aim of this review was to assess the effectiveness of the endoscopic versus open techniques for management of inverted papilloma. There is not enough evidence in the literature to support one or the other treatment option for management of inverted papilloma. There is a trend though towards endoscopic approach. Ideal management should aim at complete removal of all diseased mucosa with creation of wide cavities and long term follow-up to detect subsequent recurrence or malignant transformation.
Author(s): Karkos PD, Fyrmpas G, Carrie SC, Swift AC
Publication type: Review
Publication status: Published
Journal: Clinical Otolaryngology
Year: 2006
Volume: 31
Issue: 6
Pages: 499-503
ISSN (print): 1749-4478
ISSN (electronic): 1749-4486
URL: http://dx.doi.org/10.1111/j.1365-2273.2006.01333.x
DOI: 10.1111/j.1365-2273.2006.01333.x
