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The Role of Endoscopic Surgery in the Treatment of Nasal Inverted Papilloma

Xiao-Wei Liu ,Jing-Wu Sun *

1.1 Object: To explore the indications for surgical approach of nasal inverted papilloma based on clinical data. 1.2 Methods: In a retrospective study, clinical date of 72 patients with inverted papilloma operated at Anhui Provincial Hospital from 2000 to 2008. A preoperative CT scan was performed in all cases. 1.3 Result: There was no recurrence in any of the two T1 cases. T2--seven recurrence cases among 32 endoscopic cases and one among the four lateral rhinotomy, one among the three combined cases. T3--endoscopic: five recurrences in 22 cases, lateral rhinotomy: one in five cases, combine: one in two. T4--lateral rhinotomy: one case. 1.4 Conclusion: Based on the extensions and sites of the lesions, we should have different approaches to different cases. The endonasal microsurgial approach should be preferred to the cases with tumors localized in the ethmoid, sphenoid, maxilary sinus and frontal sinus ostium.