Managementul papilomului inversat din sinusurile paranazale.
Source: ORL. Author s : Manea, Claudiu Abstract: Inverted papilloma is a common epithelial benign tumour, of uncertain aetiology, arising from the outlining Schneiderian respiratory membrane.
This locally aggressive neoplasm is a lesion inverted papilloma nasal cavity the mucosal membrane of the nasal cavity and the paranasal sinuses, composed of welldifferentiated columnar or ciliated respiratory epithelium.
It has a high risk of association with malignancies.
Surgery is the primary treatment. After surgery, the risk of local recurrence varies with the extent of resection, with an often recurrence if incompletely excised.
We inverted papilloma nasal cavity that the endoscopic approach has proven to become a safe and effective method over the traditional approach. Nevertheless, in cases of advanced tumour stages, or malignancy, the best surgical option is to use a wide access, as radical antrostomy or paralateronasal rhinotomy.
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Figure 5. Drainage tube through the frontal recess The histopathologic examination confirmed the diagnosis of left frontal sinus osteoma. The postoperative evolution was favorable. The patient received i. Daily dressing change was performed, as well as aspiration through and around the drainage tube.