KBB-Forum 2018 , Cilt 17, Sayı 2

OUR CLINICAL DIAGNOSIS AND TREATMENT IN THE PATIENTS WITH INVERTED PAPILLOM

DR. Adnan EKİNCİ, DR. Müge ÖZCAN
Hitit Üniversitesi Tıp Fakültesi, kulak Burun Boğaz Anabilim Dalı, Çorum, Türkiye Objective: The purpose of this study is to evaluate the outcome of surgical treatment of inverted papillomas of the nose and paranasal sinuses diagnosed in our clinic.Methods: Seven patients with a nasal and paranasal sinus inverted papilloma diagnosed between January 2015 and April 2017 were examined retrospectively. The age, sex, tumor origin and extent of the patients were studied. Computed tomography, magnetic resonance imaging findings, surgical treatment method, histopathological diagnosis and follow-up were presented.

Results: Patients were between 41 and 68 years of age and all were male (mean age 56.14). In the polyclinic cases, the most frequent cause of admission was unilateral nasal obstruction 100% (7/7), nasal discharge 71% (5/7) and headache 57% (4/7). Three patients had unilateral right nasal cavity, whereas four patients had left nasal cavity involvement. Bilateral involvement was not observed in any of our cases. inverted papillomas were most commonly seen in 42% (4/7) of the medial concha, 42% (4/7) of the maxillary sinus and 14% (1/7) of the nasal septum.

Conclusion: In this study, all patients with inverted papilloma were male patients in the advanced age group and unilateral involvement. Caldwell-Luc operation was performed with endoscopic approach in 71.42% (5/7) of cases and endoscopic treatment in 28.18% (2/7) of tumor removal. The mean follow-up period was 15 months. None of the cases had recurrence in the follow-up period. Keywords : Inverted Papilloma, Paranasal Sinus, Malign Transformation