Inverted papilloma of nasal cavity and paranasal sinuses and middle ear and mastoid in the data of ENT Department of Silesian Medical University between 2007 and 2010: histo-clinical analysis
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 3
Abstract
SUMMARY Introduction: Papillomas of nasal cavity and paranasal sinuses according to WHO classification (1991) are divided into inverted papilloma, exophytic papilloma and cylindrical papilloma. Inverted papillomas expand most aggressively and turn malignant more often than others. Papillomas in sinonasal mucous membranes are considered pre-neoplastic condition, where the HPV virus is responsible for its aetiology. A sub-group of oncogenetic viruses is made up of: HPV 16, 18, 21. The results of epidemiological studies indicate some 20% risk of occurrence of neoplasm in case of stated local HPV viremia. Aim: The aim of this study was to present diagnostic procedures (especially computed tomography examination and histopatological examination), clas-sification and treatments methods (comparison of FESS technique and tradi-tional via external approach) of inverted papillomas. Material and methods: Material consists of 8 cases of inverted papillomas: 7 cases of nasal cavity and paranasal sinuses and 1 case of sinonasal and middle ear inverted papillomas treated surgically in ENT Department of Silesian Medical University. Patients admitted to our Department usually suffering from unilateral nasal obstruction, purulent and bloody rhinorrhoea from the nose and headache. On otolaryngological examination has been detected a lively red granulation, which filled all nasal meatus and tympanic cavity Results: Ali patients were treated surgically (FESS technique or traditional). The recurrence rate of our group was 25% (2 case for 8 treated) with a mean 2 years follow-up. Conclusions: Classification and clinic — histopathological analysis of Schnei-derian papillomas in this article were introduced.
Authors and Affiliations
Jarosław Markowski, Tatiana Gierek, Małgorzata Witkowska, Lucyna Klimczak-Gołąb, Estera Jagosz-Kandzioral, Jacek Pająk, Przemysław Pencak, Tomasz Lepich
Keywords
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