Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up
Abstract Background Our aim was to review our management of inverted papilloma (IP), perform a recurrence analysis, and review the literature. Methods A retrospective analysis of 247 patients treated for an IP. Patients were grouped according to surgical approach, tumor presentation (primary, residu...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2017-12-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-017-0246-7 |
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| author | Oisín Bugter Dominiek André Monserez Floris Vincent Willem Joseph van Zijl Robert Jan Baatenburg de Jong Jose Angelito Hardillo |
| author_facet | Oisín Bugter Dominiek André Monserez Floris Vincent Willem Joseph van Zijl Robert Jan Baatenburg de Jong Jose Angelito Hardillo |
| author_sort | Oisín Bugter |
| collection | DOAJ |
| description | Abstract Background Our aim was to review our management of inverted papilloma (IP), perform a recurrence analysis, and review the literature. Methods A retrospective analysis of 247 patients treated for an IP. Patients were grouped according to surgical approach, tumor presentation (primary, residual and recurrence) and Krouse-stage. Results Recurrence was observed in 20.3%, 28.6% and 35.1% (p = 0.017) of the patients who underwent endoscopic, external and combined surgery, respectively. Recurrences occurred more often in residual than primary IP (36.9% vs. 22.3%, p = 0.021). Primary endoscopic surgery had a recurrence rate of 12.5%, which was comparable to the recent literature (11.2%, 161/1433). Conclusions The relatively high number of recurrences in this cohort is explained by the long follow-up and previous (incomplete) surgery in 61.5% of the cases. The inferior outcome of residual IP underscores the importance of having a low threshold for preoperative biopsy in unilateral and atypical sinonasal disease. |
| format | Article |
| id | doaj-art-12005a37b25144b2832b7ae190c8deb0 |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2017-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-12005a37b25144b2832b7ae190c8deb02025-02-03T00:22:57ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162017-12-014611710.1186/s40463-017-0246-7Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-upOisín Bugter0Dominiek André Monserez1Floris Vincent Willem Joseph van Zijl2Robert Jan Baatenburg de Jong3Jose Angelito Hardillo4Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus MCDepartment of Otorhinolaryngology and Head and Neck Surgery, Erasmus MCDepartment of Otorhinolaryngology and Head and Neck Surgery, Erasmus MCDepartment of Otorhinolaryngology and Head and Neck Surgery, Erasmus MCDepartment of Otorhinolaryngology and Head and Neck Surgery, Erasmus MCAbstract Background Our aim was to review our management of inverted papilloma (IP), perform a recurrence analysis, and review the literature. Methods A retrospective analysis of 247 patients treated for an IP. Patients were grouped according to surgical approach, tumor presentation (primary, residual and recurrence) and Krouse-stage. Results Recurrence was observed in 20.3%, 28.6% and 35.1% (p = 0.017) of the patients who underwent endoscopic, external and combined surgery, respectively. Recurrences occurred more often in residual than primary IP (36.9% vs. 22.3%, p = 0.021). Primary endoscopic surgery had a recurrence rate of 12.5%, which was comparable to the recent literature (11.2%, 161/1433). Conclusions The relatively high number of recurrences in this cohort is explained by the long follow-up and previous (incomplete) surgery in 61.5% of the cases. The inferior outcome of residual IP underscores the importance of having a low threshold for preoperative biopsy in unilateral and atypical sinonasal disease.http://link.springer.com/article/10.1186/s40463-017-0246-7Inverted papillomaEndoscopic surgeryRecurrenceRetrospective studyFollow-up |
| spellingShingle | Oisín Bugter Dominiek André Monserez Floris Vincent Willem Joseph van Zijl Robert Jan Baatenburg de Jong Jose Angelito Hardillo Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up Journal of Otolaryngology - Head and Neck Surgery Inverted papilloma Endoscopic surgery Recurrence Retrospective study Follow-up |
| title | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
| title_full | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
| title_fullStr | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
| title_full_unstemmed | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
| title_short | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
| title_sort | surgical management of inverted papilloma a single center analysis of 247 patients with long follow up |
| topic | Inverted papilloma Endoscopic surgery Recurrence Retrospective study Follow-up |
| url | http://link.springer.com/article/10.1186/s40463-017-0246-7 |
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