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  • Endoskopska kirurgija invertiranega papiloma = Endoscopic surgery of inverted papilloma
    Spudič, Štefan ; Podboj, Jernej ; Boršoš, Imre
    Background. Inverted papillomas of the nose and paranasal sinuses are very common benign lesions, characterised by their tendency to recur and by their high malignant transformation potential. ... Primary radical resection is mandatory in these cases. In the majority of patients with inverted nasal papillomas, standard surgical extranasal resection is successfully replaced byendoscopic treatment. Patient and methods. At the Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Centre Ljubljana, 35 patients with inverted papillomas were operated on between 1989 and 2001. After endoscopic and radiologic evaluation of the extent of the tumor growth we decided for the endoscopic approach in 20 patients, for extranasal en bloc resection in 12 patients, and for a combination of both techniques in 3 patients. Results. The overall recurrence rate was 20% and therate of malignant transformation 6%. The recurrence rate varied from 13% for patients operated on classically to 25% for patients treated by endoscopicsurgery. In the last 5 years, the recurrence rate in patients treated by the endoscopic approach fell to 14%. Conclusions. Aggressive initial eradication of the disease remains the therapeutic goal in the management of inverted papillomas. In the hands of experienced and skilled rhinosurgeons endoscopic radical resection is just as efficient and safe as external surgery.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 7, št. 16-17, 2002, str. 29-35)
    Vrsta gradiva - članek, sestavni del
    Leto - 2002
    Jezik - slovenski
    COBISS.SI-ID - 15250649

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