Surgical analysis of sinonasal inverting papilloma with recurrence

Objective: To investigate the effectiveness of intranasal endoscopic surgery of sinonasal inverting papilloma with recurrence.

Methods: Retrospective comparative analysis of intranasal endoscopic surgery on 7 patients and lateral rhinotomy on 14 patients of sinonasal inverting papilloma with recurrence.

Results: All the 21 cases with recurrence had suffered sinonasal surgery such as lateral rhinotomy, endoscopic surgery, intranasal surgery, Caldwell-Luc operation and nasal polypectomy. Among them, 14 cases recurred once, 4 cases recurred 2 times, 2 cases recurred 3 times and 1 case recurred 5 times. The recurrence time ranged from 1 month to 12 years, and the mean time was 20 months. There was no recurrence both in 7 patients with intranasal endoscopic surgery during 1-3 years' follow-up and in 14 patients with lateral rhinotomy during 1-10 years' follow-up.

Conclusions: The intranasal endoscopic surgery is an effective management for sinonasal inverting papilloma with recurrence.