PMID- 14762883
OWN - NLM
STAT- MEDLINE
DCOM- 20040616
LR  - 20061005
IS  - 1043-3074 (Print)
IS  - 1043-3074 (Linking)
VI  - 26
IP  - 2
DP  - 2004 Feb
TI  - Tailored endoscopic surgery for the treatment of sinonasal inverted papilloma.
PG  - 145-53
AB  - BACKGROUND: This retrospective study was designed to evaluate the efficacy of 
      tailored endoscopic surgery. Tailored endoscopic surgery aims at resecting the 
      inverted papilloma completely with a customized surgical approach, especially 
      when an en-bloc excision cannot be comprehensively or routinely achieved because 
      of the immense extent of the tumor. METHODS: Between November 1991 and March 
      2002, 43 patients with sinonasal inverted papillomas were treated by tailored 
      endoscopic surgery. The average duration of follow-up for this population was 
      25.3 months (range, 9-150 months). A staging system developed by Krouse was 
      adopted for tumor grading. On the basis of tailored endoscopic surgery, 15 
      localized lesions and 12 smaller extensive lesions (Krouse stages 1 and 2) were 
      treated by ordinary endoscopic resection, whereas 16 larger extensive lesions 
      (Krouse stages 3 and 4) in which the tumors were immense were subjected to 
      sequential segmental endoscopic surgery (SSES). Seven of these 16 larger 
      extensive lesions combined with endoscopic medial maxillectomy because of 
      extensive encroachment of maxillary sinus antrum. RESULTS: Four patients (9.3%) 
      had residual disease, each requiring one revision surgery. All tumors were 
      successfully resected. No patient required lateral rhinotomy or midfacial 
      degloving procedure. No major complications were encountered in any of the 
      patients. None of the patients had residual disease at the time of this writing. 
      CONCLUSIONS: Tailored endoscopic surgery is a safe and effective treatment that 
      obviates the need for more extensive surgery for the management of inverted 
      papilloma. Proper preoperative evaluations, intraoperative determination of 
      extent and attachment of the tumor, close endoscopic follow-up, and expert 
      application of endoscopic techniques are the keys to the successful use of 
      tailored endoscopic surgery.
CI  - Copyright 2004 Wiley Periodicals, Inc. Head Neck 26: 145-153, 2004
FAU - Lee, Ta-Jen
AU  - Lee TJ
AD  - Department of Otolaryngology, Chang Gung Memorial Hospital, Chang Gung 
      University, No 199, Tung-Hwa N Road, Taipei 105, Taiwan.
FAU - Huang, Shiang-Fu
AU  - Huang SF
FAU - Huang, Chi-Che
AU  - Huang CC
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Head Neck
JT  - Head & neck
JID - 8902541
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Endoscopy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Maxillary Sinus/pathology/surgery
MH  - Middle Aged
MH  - Neoplasm Invasiveness
MH  - Neoplasm Recurrence, Local/surgery
MH  - Neoplasm Staging
MH  - Papilloma, Inverted/pathology/*surgery
MH  - Paranasal Sinus Neoplasms/pathology/*surgery
MH  - Retrospective Studies
MH  - Time Factors
MH  - Tomography, X-Ray Computed
EDAT- 2004/02/06 05:00
MHDA- 2004/06/17 05:00
CRDT- 2004/02/06 05:00
PHST- 2004/02/06 05:00 [pubmed]
PHST- 2004/06/17 05:00 [medline]
PHST- 2004/02/06 05:00 [entrez]
AID - 10.1002/hed.10350 [doi]
PST - ppublish
SO  - Head Neck. 2004 Feb;26(2):145-53. doi: 10.1002/hed.10350.