Nasal papilloma recurrence


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This technique is aided by the usage of adequate instruments, such as 0° and 70° scopes and angulated surgical in­struments, which allow the complete visualization and access to the maxillary sinus. The authors present, as an endoscopic surgical atlas, step by step, the surgical procedure for endoscopic approach of inverted papilloma, in order to reach a complete tumor removal without any leftovers.

Maxilectomia maxilară medială pentru papilomul inversat - Inverted papilloma recurrence rate

Keywords medial maxillectomy, inverted papilloma, endoscopic sinus surgery Rezumat Tehnica maxilectomiei mediale reprezintă inverted papilloma recurrence rate de aur în tratamentul chirurgical al papilomului inversat, deoarece oferă o expunere adecvată a peretelul nazal lateral şi a sinusului maxilar. Intervenţia include excizia chirurgicală a peretelui nazal lateral şi a sinusului etmoidal.

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Această tehnică este posibilă prin folosirea instrumentarului adecvat, a tijelor de 0° şi 70° şi a instrumentelor chirurgicale angulate, care permit vizualizarea şi accesul complet spre sinusul maxilar. Autorii prezintă, ca un atlas de chirurgie endoscopică, paşii acestei tehnici chirurgicale de abord endoscopic al papilomului inversat, în vederea exciziei complete inverted papilloma recurrence rate tumorii, fără nicio restanţă.

Maxilectomia maxilară medială pentru papilomul inversat Cuvinte cheie maxilectomie medială papilom inversat chirurgie sinuzală endoscopică Introduction Inverted papilloma represents an invasive, unilate­ral, benign tumoral mass, which has its origin in the nasal mucosa and presents a risk of malignancy.

Inverted papilloma disease. Inverted papilloma sinus causes - wishstudio.ro

It is most commonly located on inverted papilloma recurrence rate lateral nasal wall, extended to the maxillary and ethmoid sinus 1. Table Of Contents ; 6 1.

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When it has its origin in the maxillary sinus, the elected technique is represented by endoscopic medial maxillectomy. Medial maxillectomy inverted papilloma recurrence rate to enable the access to the maxillary sinus, superior to the combined middle and inferior meatus approach. In the last decades, with the development of endoscopic and imagistic techniques, the endoscopic approach replaced the external procedures, as it presents similar success rates, lower morbidity and better esthetic outcomes for the patient 2.

Nasal papilloma diagnosis.

Also, endoscopic approach was proven to allow the better evaluation of nasal mucosa. The indications for endoscopic medial maxillectomy include inverted papilloma, nasopharyngeal angiofibroma and pterygomaxillary fossa pathology 3.

papillomatosis x ray

The diagnostic protocol depends on a computed tomography, which illustrates the extension and place of attachment of the tumor. Elena Roxana Osiac1, Conf.

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Maxilectomia maxilară medială pentru papilomul inversat Papillomavirus hpv 16 traitement This image shows the left maxillary sinus completely occupied by a tumoral mass, extended to the left nasal fossa, hyperostosis of the maxillary sinus walls and an nasal papilloma recurrence bony thickening, representing nasal papilloma recurrence origin of the tumor Figure 1. Figure 1. Încărcat de CT image, coronal section, showing complete blockage of the maxillary sinus, hyperostosis and tumoral origin arrow The first surgical step includes antero-posterior ethmoidectomy, with the excision of the tumor from this level nasal papilloma recurrence from the middle meatus.

We used a piece-meal resection, using bipolar electrocoagulation for hemostasis Figure 2. Figure 2. Intraoperative aspect of ethmoidectomy with tumor excision After ethmoidectomy and clearing of the middle vierme in peste, the resection of the inferior turbinate and sinonasal nasal papilloma recurrence is performed.

This technique allows a complete resection of the tumor and a good visualisation of the maxillary sinus extensions Figure 3. Figure 3.

Cause of nasal papillomas, Nasal papilloma symptoms, Symptoms of inverted nasal papilloma

Endoscopic resection of the inferior turbinate and lateral nasal wall Medial maxillectomy offers an optimal access to the maxillary sinus, with the complete resection of the tumor and the identification of the tumor origin. It represents the key point of tumor resection in order to avoid any leftovers Figure 4. Figure 4. The identification of the tumor origin using the 70° scope The deperiostation of the tumor hpv virus cancer is required, as it lowers the risk of recurrence.

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We can succeed in this procedure using an angulated curette Figure 5 or an angulated diamond burr, depending on the position of the bony stalk or hyperostosis. The deperiostation detoxifiere botosani tumor origin Final image of the widely opened medial maxillectomy ostium and resorbable sponge applied in the maxillary sinus.

Nasal papilloma recurrence. Sinonasal papilloma dysplasia

This procedure does not require the usage of a hemostatic sponge Figure 6. Figure 6.

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Mult mai mult decât documente. Final image with resorbable sponge applied Conclusions Inverted papilloma is a benign tumor with recurrence and malignancy potential. Recurrence is in fact a tumoral residue. The endoscopic medial maxillectomy is the elected technique for complete tumoral resection and ensures a superior approach to the maxillary sinus and also lowers the risk of recurrence.

Conflict of interests: The authors declare no conflict of interests. Journal of Oral and Maxillofacial Pathology.