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Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up
BACKGROUND: Our aim was to review our management of inverted papilloma (IP), perform a recurrence analysis, and review the literature. METHODS: A retrospective analysis of 247 patients treated for an IP. Patients were grouped according to surgical approach, tumor presentation (primary, residual and...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738878/ https://www.ncbi.nlm.nih.gov/pubmed/29262865 http://dx.doi.org/10.1186/s40463-017-0246-7 |
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author | Bugter, Oisín Monserez, Dominiek André van Zijl, Floris Vincent Willem Joseph Baatenburg de Jong, Robert Jan Hardillo, Jose Angelito |
author_facet | Bugter, Oisín Monserez, Dominiek André van Zijl, Floris Vincent Willem Joseph Baatenburg de Jong, Robert Jan Hardillo, Jose Angelito |
author_sort | Bugter, Oisín |
collection | PubMed |
description | BACKGROUND: Our aim was to review our management of inverted papilloma (IP), perform a recurrence analysis, and review the literature. METHODS: A retrospective analysis of 247 patients treated for an IP. Patients were grouped according to surgical approach, tumor presentation (primary, residual and recurrence) and Krouse-stage. RESULTS: Recurrence was observed in 20.3%, 28.6% and 35.1% (p = 0.017) of the patients who underwent endoscopic, external and combined surgery, respectively. Recurrences occurred more often in residual than primary IP (36.9% vs. 22.3%, p = 0.021). Primary endoscopic surgery had a recurrence rate of 12.5%, which was comparable to the recent literature (11.2%, 161/1433). CONCLUSIONS: The relatively high number of recurrences in this cohort is explained by the long follow-up and previous (incomplete) surgery in 61.5% of the cases. The inferior outcome of residual IP underscores the importance of having a low threshold for preoperative biopsy in unilateral and atypical sinonasal disease. |
format | Online Article Text |
id | pubmed-5738878 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-57388782018-01-02 Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up Bugter, Oisín Monserez, Dominiek André van Zijl, Floris Vincent Willem Joseph Baatenburg de Jong, Robert Jan Hardillo, Jose Angelito J Otolaryngol Head Neck Surg Original Research Article BACKGROUND: Our aim was to review our management of inverted papilloma (IP), perform a recurrence analysis, and review the literature. METHODS: A retrospective analysis of 247 patients treated for an IP. Patients were grouped according to surgical approach, tumor presentation (primary, residual and recurrence) and Krouse-stage. RESULTS: Recurrence was observed in 20.3%, 28.6% and 35.1% (p = 0.017) of the patients who underwent endoscopic, external and combined surgery, respectively. Recurrences occurred more often in residual than primary IP (36.9% vs. 22.3%, p = 0.021). Primary endoscopic surgery had a recurrence rate of 12.5%, which was comparable to the recent literature (11.2%, 161/1433). CONCLUSIONS: The relatively high number of recurrences in this cohort is explained by the long follow-up and previous (incomplete) surgery in 61.5% of the cases. The inferior outcome of residual IP underscores the importance of having a low threshold for preoperative biopsy in unilateral and atypical sinonasal disease. BioMed Central 2017-12-20 /pmc/articles/PMC5738878/ /pubmed/29262865 http://dx.doi.org/10.1186/s40463-017-0246-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Research Article Bugter, Oisín Monserez, Dominiek André van Zijl, Floris Vincent Willem Joseph Baatenburg de Jong, Robert Jan Hardillo, Jose Angelito Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
title | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
title_full | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
title_fullStr | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
title_full_unstemmed | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
title_short | Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
title_sort | surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738878/ https://www.ncbi.nlm.nih.gov/pubmed/29262865 http://dx.doi.org/10.1186/s40463-017-0246-7 |
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