How do you treat an inverted papilloma?

Inverted papillomas must be treated. The tumor will not go away on its own, and over time it may cause damage to the surrounding bone and tissue. Surgical removal is the only option. In the majority of cases, surgery can be performed with a minimally invasive procedure called an endonasal endoscopy.

What is medial maxillectomy?

Medial maxillectomy is a procedure historically used for the removal of benign and low-grade malignant tumors of the medial aspect of the maxilla, lateral nasal wall, ethmoid sinuses along the lamina papyracea, and the lacrimal sac.

How is a maxillectomy performed?

Your surgeon will need to cut through your upper jaw (maxilla) to remove the tumour. The operation involves removing of some of the bone in your maxilla, part of the roof of your mouth, and possibly some of your teeth. This will allow your surgeon to remove the tumour and a margin of healthy tissue around it.

What is modified medial maxillectomy?

The modified medial maxillectomy entails removing a large portion of the medial maxillary wall to gain wide access to the maxillary sinus. It is primarily used for the removal of benign tumors, such as inverted papillomas and juvenile nasopharyngeal angiofibromas.

How fast do inverted papillomas grow?

In our case the IP showed an aggressive growth with extensive invasion intracranially and intraorbitally. The time from first histological diagnosis of IP to invasive carcinoma was only 3 months which is short compared with literature.

Do papillomas need to be removed?

Most intraductal papillomas are non-cancerous, however 17-20% have been shown to be cancerous upon complete removal of the growth. In addition, about 20% of intraductal papillomas contain abnormal cells. Because there is even a small risk of cancer, papillomas should be surgically removed and biopsied.

What is a Lothrop procedure?

The Lothrop procedure is a complex and highly specialized surgery for those with severe chronic rhinosinusitis or sinusitis. During the procedure, your surgeon will open the pathways of the sinuses and clear blockages to help air get in and drainage get out.

What is Denker’s operation?

The anteromedial maxillectomy was first described by Alfred Denker in 1906. It involved removal of the ethmoids, lateral nasal wall, and middle and inferior turbinates through a gingivobuccal sulcus incision that was extended medially to the frenulum.

How long does it take to recover from a maxillectomy?

Recovery from a maxillectomy depends on the extent of the procedure you have had. Often, a one to two week hospital stay is needed. In some cases, a temporary feeding tube may be needed to provide you with nutrition during and after the healing process.

What is a total maxillectomy?

A total maxillectomy is the resection of the entire maxilla, whereas a limited maxillectomy is only a partial resection, involving the removal of only the medial wall or the floor of the maxillary sinus. An indication for a maxillectomy would be to remove cancer in the maxillary sinus.

What is lateral Rhinotomy?

The Lateral Rhinotomy approach is indicated for access for tumors involving the nasal cavity ethmoid sinus or anterior skull base. This allows exposure of the entire nasal cavity. Superiorly this extends to the skull base and inferiorly to the floor of the nose. All three turbinates are also exposed.

What is a bilateral maxillary Antrostomy?

Maxillary antrostomy is a surgical procedure to enlarge the opening (ostium) of the maxillary sinus. This allows for further surgical intervention within the maxillary sinus cavity as well as improved sinus drainage.

How effective is transnasal endoscopic medial maxillectomy for inverting papilloma?

Transnasal endoscopic medial maxillectomy is an effective, reproducible technique with less operative time and morbidity and, possibly, better pathological tumor mapping than … Transnasal endoscopic medial maxillectomy for inverting papilloma

What is inverted papilloma (IP) of the maxillary sinus?

One of these is inverted papilloma (IP) of the maxillary sinus, which is a common benign tumor with a substantial rate of malignant transformation. In general, endoscopic endonasal techniques for addressing the tumor are favored nowadays instead of classical external approaches.

What is a medial maxillectomy?

The classic medial maxillectomy involves the resection of the whole medial maxillary sinus wall, including the inferior turbinate and the nasolacrimal duct [50,52].

Can inverted papilloma be divided into two groups?

The author realized that inverted papilloma can be divided into two groups from the anatomic and behavioral points of view and accordingly should be managed differently.