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Published in: European Archives of Oto-Rhino-Laryngology 9/2018

Open Access 01-09-2018 | Rhinology

Intranasal endoscopic prelacrimal recess approach for maxillary sinus inverted papilloma

Authors: Qian-Qian Yu, Ge Guan, Nian-Kai Zhang, Xiao-Wen Zhang, Yan Jiang, Yuan-Yuan Lian, Ting-Ting Liu, Xiao-Dan Jiang, Na Li

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2018

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Abstract

Purpose

This study aims to determine the indications and effectiveness of transnasal endoscopic prelacrimal recess approach (PLRA) in patients with maxillary sinus inverted papilloma (IP).

Methods

We retrospectively analyzed 71 patients treated in our institution for maxillary sinus IP between August 2008 and April 2015. 20 patients underwent endoscopic surgery via PLRA. All the patients who had postoperative follow-up for 3 years were enrolled. Demographic data, surgical technique, location of IP attachment, intra- and postoperative complications, follow-up duration and recurrence were recorded.

Results

The outpatient follow-up period was 3–10 years after surgery. Recurrence of IP was seen in 6 (8.5%) of 71 patients, including 1 patient in the PLRA group. The recurrence rate was 5% in the PLRA group. Six of 71 patients experienced postoperative complications, but none was observed in the PLRA group.

Conclusion

Transnasal endoscopic PLRA is a minimally invasive, safe and effective method for maxillary sinus IP. The indication for PLRA is tumor pedicle located on the antero-inferior or infero-lateral wall or at multiple attachment sites of the maxillary sinus.
Literature
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go back to reference Lee DK, Chung SK, Dhong HJ, Bok HK (2007) Focal hyperostosis on CT of sinonasal inverted papilloma as a predictor of tumor origin. Am J Neuroradiol 28:618–621PubMed Lee DK, Chung SK, Dhong HJ, Bok HK (2007) Focal hyperostosis on CT of sinonasal inverted papilloma as a predictor of tumor origin. Am J Neuroradiol 28:618–621PubMed
Metadata
Title
Intranasal endoscopic prelacrimal recess approach for maxillary sinus inverted papilloma
Authors
Qian-Qian Yu
Ge Guan
Nian-Kai Zhang
Xiao-Wen Zhang
Yan Jiang
Yuan-Yuan Lian
Ting-Ting Liu
Xiao-Dan Jiang
Na Li
Publication date
01-09-2018
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 9/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-018-5078-1

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