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Treatment strategies for inverted papillomas with intracranial or intraorbital involvement

Published online by Cambridge University Press:  25 August 2021

D Spinos ,
T Kalamatianos ,
D Terzakis ,
M Piagkou  and
C Georgalas
D Spinos*
Affiliation:
Department of Otolaryngology, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Trust, UK
T Kalamatianos
Affiliation:
Department of Neurosurgery, Athens Microneurosurgery Laboratory, Evangelismos Hospital, Athens, Greece
D Terzakis
Affiliation:
Department of Otolaryngology, Hygeia Hospital, Greece
M Piagkou
Affiliation:
Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Greece
C Georgalas
Affiliation:
Department of Endoscopic Skull Base Surgery, Hygeia Hospital, Greece Medical School, University of Nicosia, Cyprus
*
Author for correspondence: Mr Dimitrios Spinos, Department of Otolaryngology, Royal Derby Hospital, University Hospitals of Derby and Burton NHS Trust, Uttoxeter Rd, DerbyDE22 3NE, UK E-mail: dimi.spinos@gmail.com
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Abstract

Objective

Sinonasal inverted papillomas are challenging benign tumours of the nasal cavity because of their high recurrence rates and the lifetime malignant transformation risk of 10 per cent as well as their locally aggressive behaviour. This study aimed to describe treatment strategies for inverted papillomas with intracranial or intraorbital involvement.

Method

This was a prospective case series study of 18 patients with inverted papilloma with intracranial or intraorbital involvement. Patient demographic data, imaging, pathology, surgical technique and recurrences were recorded prospectively over a period of seven years.

Results

A total of 83 per cent of the patients in this study had been previously operated on, consisting of 8 cases with intracranial involvement, 1 case with intraorbital involvement and 9 with both. During follow up with a medium of 37 months (range, 13–115 months) there were two recurrences.

Conclusion

It was postulated that intracranial or intraorbital involvement observed in this series was the result of multiple revisions. However, using accurate imaging protocols and the pedicle-oriented approach for tumour excision, complete tumour removal was achieved in most cases with minimal post-operative complications.

Keywords

Papilloma, InvertedSkull BaseOtolaryngologyRecurrence
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 10 , October 2021 , pp. 904 - 910
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Mr D Spinos takes responsibility for the integrity of the content of the paper

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