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KMID : 0361019980410081025
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Korean Journal of Otolaryngology - Head and Neck Surgery
1998 Volume.41 No. 8 p.1025 ~ p.1028
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Outcomes of Endoscopic Surgical Treatment in 41 Cases Nasal and Sinus Inverted Papilloma
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박재훈/Jae Hoon Park
이상덕/권용욱/박효진*/이용배*/Sang Duck Lee/Yong Wook Kwon/Hyo Jin Park*/Yong Bae Lee*
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Abstract
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Background and Objectives: Many investigators had argued that aggressive surgical treatments such as medial maxillectomy with external or transantral ethmoidectomy are proper for inverted papilloma. However, lately, many investigators
reported
that more extended endoscopic surgery could be applied to the field of nasal disease. We evaluated the usefulness of endoscopic endonasal surgery for treatment and follow up of inverted papilloma. Materials and Methods: Forty-one patients
diagnosed with inverted papilloma in our clinic have undertaken endoscopic sinus surgery from 1992 through 1996. All the patients who were treated endoscopically have had their disease followed for a minimum of 1 year, with an average of 3 years.
Results: Six cases (14.6%) showed recurrence. Among them, 2 cases showed recurrence six times during the follow-up period, and endoscopic surgery was done each time until finally cured. There is no case related with malignant change in
pathology.
Conclusion: We conclude that endoscopic procedure is useful for preoperative examination, postoperative recurrence follow-up and treatment of both limited and recurrent inverted papilloma.
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