SCHNEIDERIAN PAPILLOMA: OUR EXPERIENCE OVER 12 YEARS AND LITERATURE REVIEW
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Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Nobel Ilac
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: They were assessed the experience with Schneiderian papillomas of the nasal and paranasal sinuses and their treatment results. Material and Method: A retrospective chart review of 37 patients presenting with Schneiderian papillomas of the nasal and paranasal sinuses was performed from January 2000 to April 2012. Patients' charts were reviewed for age, extent of tumor, location(s), computed tomography, magnetic resonance imaging, surgical technique, histopathological diagnosis and follow-up. Results: The most common symptom was unilateral nasal obstruction in 75.7% of cases, followed by epistaxis in 32.4%. The most common location was the maxillary sinus, followed by the ethmoid sinus and nasal cavity. Tumors were classified with the Krouse staging system at the time of diagnosis as follows: T1, 12 patients (32%); T2, 17 (46%); T3, 7 (19%); and T4, 1 (3%). A total of 23 (62.17%) patients underwent endoscopic nasal surgery, 8 (21.63%) underwent a combined approach, 2 (5.40%) had lateral rhinotomy and external medial maxillectomy, and 4 (10.80%) were treated using only the Caldwell-Luc approach. Pathological assessment revealed 27 (72.97%) inverted papillomas, 7 (18.91%) fungiform papillomas, and 3 (8.10%) oncocytic Schneiderian papillomas. Among the 37 cases, only 3 patients with inverted papillomas were found to have recurrence and were treated with open and endoscopic approaches. Conclusion: Oncocytic Schneiderian papilloma is uncommon compared to inverted and fungiform papilloma. Complete removal of the lesion is required. Close long-term follow-up is necessary for early recurrence and to allow for surgical salvage.
Açıklama
Anahtar Kelimeler
Schneiderian membrane papilloma, endoscopic surgery, inverted papilloma, paranasal sinuses
Kaynak
Nobel Medicus
WoS Q Değeri
N/A
Scopus Q Değeri
Q4
Cilt
11
Sayı
2
