Conclusions
This retrospective review suggests that recurrence rates of IPs may be higher in cases operated on initially by a non-specialist surgeon. We therefore recommend that all IP cases should be referred to a fellowship-trained rhinologist using the suggested management gold-standard flow chart (figure 2). Our study further demonstrates that endoscopic approaches remain a beneficial technique in managing IPs (2,5) by reducing morbidity, decreasing post-operative complications, and inpatient stays. (4,6)
Word count – 1433/1500
References:
  1. Lisan, Q., Laccourreye, O., & Bonfils, P. (2016). Sinonasal inverted papilloma: From diagnosis to treatment. In European Annals of Otorhinolaryngology, Head and Neck Diseases (Vol. 133, Issue 5, pp. 337–341). Elsevier Masson SAS. https://doi.org/10.1016/j.anorl.2016.03.006
  2. Lund, V. J., Stammberger, H., Nicolai, P, Castelnuovo P, Beal T et al. (2010). European position paper on endoscopic management of tumours of the nose and paranasal sinuses and skull base Chronic Rhinosinusitis Burden of Disease View project Surgical versus medical treatment of CRS View project . https://www.researchgate.net/publication/284882881
  3. Wang, M. J., & Noel, J. E. (2017). Etiology of sinonasal inverted papilloma: A narrative review. In World Journal of Otorhinolaryngology - Head and Neck Surgery (Vol. 3, Issue 1, pp. 54–58). KeAi Communications Co. https://doi.org/10.1016/j.wjorl.2016.11.004
  4. Goudakos, J. K., Blioskas, S., Nikolaou, A., Vlachtsis, K., Karkos, P., & Markou, K. D. (2018). Endoscopic Resection of Sinonasal Inverted Papillomas: Systematic Review and Meta-Analysis.American Journal of Rhinology and Allergy . https://doi.org/10.1177/1945892418765004
  5. Philpott, C. M., Dharamsi, A., Witheford, M., & Javer, A. R. (2010). Endoscopic management of inverted papillomas: Long-term results - The St. Paul’s sinus centre experience. Rhinology , 48 (3), 358–363. https://doi.org/10.4193/Rhin09.105
  6. Kim, D. Y., Hong, S. L., Lee, C. H., Jin, H. R., Kang, J. M., Lee, B. J., Moon, I. J., Chung, S. K., Rha, K. S., Cho, S. H., Kim, K. R., Kim, S. W., Kim, D. W., Chung, Y. J., Kim, K. S., Won, T. bin, Shim, W. S., Park, C. H., Kang, I. G., & Roh, H. J. (2012). Inverted papilloma of the nasal cavity and paranasal sinuses: A Korean multicenter study. Laryngoscope , 122 (3), 487–494. https://doi.org/10.1002/lary.22495
  7. Walgama, E., Ahn, C., & Batra, P. S. (2012). Surgical management of frontal sinus inverted papilloma: A systematic review. InLaryngoscope (Vol. 122, Issue 6, pp. 1205–1209). https://doi.org/10.1002/lary.23275
  8. Philpott C, Sama A. Endonasal Approaches to Maxillary Sinus. Int J Head Neck Surg 2018;9(1):26-31.
  9. Sciarretta, V., Fernandez, I. J., Farneti, P., & Pasquini, E. (2014). Endoscopic and combined external-transnasal endoscopic approach for the treatment of inverted papilloma: Analysis of 110 cases.European Archives of Oto-Rhino-Laryngology , 271 (7), 1953–1959. https://doi.org/10.1007/s00405-013-2817-1