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Transnasal endoscopic approach with powered instrumentation for treating squamous papilloma in the nasopharyngeal surface of the soft palate

Published online by Cambridge University Press:  28 January 2013

J-H Lee ,
Y-O Lee ,
C-H Lee  and
K-S Cho
J-H Lee
Affiliation:
Department of Otorhinolaryngology andMedical Research Institute, Pusan National University School of Medicine, Busan, South Korea
Y-O Lee
Affiliation:
Department of Otorhinolaryngology andMedical Research Institute, Pusan National University School of Medicine, Busan, South Korea
C-H Lee
Affiliation:
Department of Pathology, Pusan National University School of Medicine, Busan, South Korea
K-S Cho*
Affiliation:
Department of Otorhinolaryngology andMedical Research Institute, Pusan National University School of Medicine, Busan, South Korea
*
Address for correspondence: Dr K-S Cho, Department of Otorhinolaryngology, Pusan National University School of Medicine, 1-10 Ami-dong, Seo-gu, Busan 602-739, South Korea Fax: +82 51 246 8668 E-mail: choks@pusan.ac.kr
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Abstract

Objective:

To demonstrate a safe and effective method for complete resection of squamous papilloma in the nasopharyngeal surface of the soft palate. This technique was used on a patient in whom the papilloma had twice recurred following uvulopalatopharyngoplasty.

Methods:

Case report and review of the relevant literature.

Results:

The patient reported in this paper had recurrent squamous papilloma in the nasopharyngeal surface of the soft palate following uvulopalatopharyngoplasty. He also suffered from nasal regurgitation when drinking water. This lesion, which was difficult to access, was successfully treated via a transnasal endoscopic approach using powered instrumentation.

Conclusion:

This case report highlights a novel approach for the complete removal of a recurrent papilloma in a relatively inaccessible location. Compared with a transoral approach such as uvulopalatopharyngoplasty, the transnasal endoscopic approach using powered instrumentation could provide a safer, faster, easier and less invasive means of treating squamous papilloma in the nasopharyngeal surface of the soft palate, especially for a lesion that recurs following a transoral approach.

Keywords

Papilloma, Squamous CellOral Surgical ProceduresInstrumentation
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 5 , May 2013 , pp. 516 - 518
Copyright
Copyright © JLO (1984) Limited 2013 

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