Schneiderian nasal papilloma

Maxilectomia maxilară medială pentru papilomul inversat

The procedure implies surgical excision of the lateral nasal wall and ethmoid sinus.

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This technique is aided by the usage of adequate instruments, such as 0° and 70° scopes and angulated surgical in­struments, which allow the complete visualization and access to the maxillary sinus. The authors present, as an schneiderian nasal papilloma surgical atlas, step by step, the surgical procedure for endoscopic approach of inverted papilloma, in order to reach a complete tumor removal without any leftovers. Keywords medial maxillectomy, inverted papilloma, endoscopic sinus surgery Rezumat Tehnica maxilectomiei mediale reprezintă standardul de aur în tratamentul chirurgical al papilomului inversat, deoarece oferă o expunere adecvată schneiderian nasal papilloma peretelul nazal lateral şi a sinusului maxilar.

Intervenţia include excizia chirurgicală a peretelui nazal lateral şi a sinusului etmoidal.

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Această tehnică este posibilă prin folosirea instrumentarului adecvat, schneiderian nasal papilloma tijelor de 0° şi 70° şi a instrumentelor chirurgicale angulate, care permit vizualizarea şi accesul complet spre sinusul maxilar.

Autorii prezintă, ca un atlas de chirurgie endoscopică, paşii acestei tehnici chirurgicale de abord endoscopic al papilomului inversat, în vederea exciziei complete a schneiderian nasal papilloma, fără nicio restanţă.

schneiderian nasal papilloma

Cuvinte cheie maxilectomie medială papilom inversat chirurgie sinuzală endoscopică Introduction Inverted papilloma represents an invasive, unilate­ral, benign tumoral mass, which has its origin in the nasal mucosa and presents a risk of malignancy.

It is most commonly located on the lateral nasal wall, extended to the maxillary and ethmoid sinus 1. When it has its origin in the maxillary sinus, the elected technique is represented by endoscopic medial maxillectomy.

PAPILLOMA - Definiția și sinonimele papilloma în dicționarul Engleză

Medial maxillectomy aims to enable the access to the maxillary sinus, superior to the combined middle and inferior meatus approach. In the last decades, with the development of endoscopic and imagistic techniques, the endoscopic approach replaced the external procedures, as it presents similar success rates, lower morbidity and better esthetic outcomes for the patient 2.

Elena Roxana Osiac1, Conf.

Also, endoscopic approach was proven to allow the better evaluation of nasal mucosa. The indications for endoscopic medial maxillectomy include inverted papilloma, nasopharyngeal angiofibroma and pterygomaxillary fossa pathology 3.

Source: Romanian Medical Journal. Inverted papilloma is a rare epithelial benign neoplasm which presents a number of significant therapeutic problems due to a high rate of postoperative recurrence and a significant percentage of malignancy. This article represents a review of the literature on this topic and a synthesis of Colțea ENT Clinic experience in inverted papilloma associated with scuamos cell carcinoma SCC. Study design.

The diagnostic protocol depends on a computed tomography, which illustrates the extension and place of attachment of the tumor. This image shows the left maxillary sinus completely occupied by a tumoral mass, extended to the left nasal fossa, hyperostosis of the maxillary sinus walls and an anterior bony thickening, representing the origin of the tumor Figure 1.

Figure 1. CT image, coronal section, showing complete blockage of the maxillary sinus, hyperostosis and tumoral origin arrow The first surgical step includes antero-posterior ethmoidectomy, with the excision of the tumor from this level and from the middle meatus.

We used a piece-meal resection, using bipolar electrocoagulation for hemostasis Figure 2. Figure 2.

Sinonimele și antonimele papilloma în dicționarul de sinonime Engleză

Intraoperative aspect of ethmoidectomy with tumor excision After ethmoidectomy and clearing of the middle meatus, the resection of the inferior turbinate and sinonasal wall is performed. This technique allows a complete resection of the tumor and a good visualisation of the maxillary sinus extensions Figure 3. Figure 3. Endoscopic resection of the inferior turbinate and lateral nasal wall Medial maxillectomy offers an optimal access to the maxillary sinus, with the complete resection of the tumor and the identification of the tumor origin.

PAPILOMUL INVERTIT RINOSINUSAL - TUMORĂ BENIGNĂ CU POTENȚIAL DE MALIGNIZARE.

It represents the key point of tumor resection in order to avoid any leftovers Figure 4. Figure 4.

Apasă pentru a vedea definiția originală «papilloma» în dicționarul Engleză dictionary. Apasă pentru a vedea traducerea automată a definiției în Română. Papiloma Papilloma Schneiderian nasal papilloma se referă la o tumoare benignă epiteliană care crește exofitic în frunze asemănătoare niplului și, adesea, asemănătoare cu degetele.

The identification of the tumor origin using the 70° scope The deperiostation of the tumor attachment cancer de hodgkin required, as it lowers the risk of recurrence.

We can succeed in this schneiderian nasal papilloma using an angulated curette Figure 5 or an angulated diamond burr, depending on the position of the bony stalk or hyperostosis.

Endoscopic medial maxillectomy for inverted papilloma

Figure 5. The deperiostation of tumor origin Final image of the widely opened medial maxillectomy ostium and resorbable sponge applied in the maxillary sinus. This procedure does not require the usage of a hemostatic sponge Figure 6.

Figure 6.

Mult mai mult decât documente.

Final image with resorbable sponge applied Conclusions Inverted papilloma is a benign tumor with recurrence and malignancy potential. Recurrence is in fact a tumoral residue.

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The endoscopic medial maxillectomy is the elected technique for complete tumoral resection and ensures a superior approach to the maxillary sinus and also schneiderian nasal papilloma the risk of recurrence.

Conflict of interests: The authors declare no conflict of interests.

RMR_Nr-2_2014_Art-6.pdf

Sinonasal inverted papilloma: A case report and mini review of histopathological features. Journal of Oral and Maxillofacial Pathology.

Cunningham K, Welch K.

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Endoscopic medial maxillectomy. Operative Techniques in Otolaryngology. Transnasal endoscopic medial maxillectomy for inverting papilloma.

The Laryngoscope.

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