Clinical outcomes of endoscopic and endoscopic-assisted resection of inverted papillomas: A 15-year experience

Bradford A. Woodworth, Geeta A. Bhargave, James N. Palmer, Alexander G Chiu, Noam A. Cohen, Donald C. Lanza, William E. Bolger, David W. Kennedy

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Background: The endoscopic resection of sinonasal inverted papillomas (IPs) has been well described. However, the majority of published reports in the literature are small case series with limited clinical follow-up. The aim of this retrospective study was to review the experience with the endoscopic and endoscopic-assisted resection of IPs at a major academic tertiary care facility and assess long-term outcomes. Methods: A retrospective review of endoscopic and endoscopic-assisted resections of IP was performed. Charts were reviewed for standard demographic data, operative technique, adjuvant approaches, complications, and postoperative follow-up times. Results: One hundred fourteen patients (average age, 56 years) underwent endoscopic or endoscopic-assisted resection for IPs with a mean disease-free follow-up of 40 months (7-135 months). Seventeen patients developed disease after endoscopic or endoscopic-assisted resection for a recurrence rate of 15%. Average time to recurrence was 23 months. Combined approaches were used when indicated in 34% (39/114) of patients, including adjuvant osteoplastic flap, midface degloving, trephine, or Caldwell-Luc approaches. Four patients (4%) had cerebrospinal fluid leaks that were successfully repaired endoscopically. Conclusion: In this large series of endoscopically resected IPs with extensive clinical follow-up, recurrences occurred an average of 23 months after the procedure. This emphasizes the importance of long-term endoscopic follow-up to detect recurrences in all patients. Endoscopic or endoscopic-assisted resection of IPs is a valid technique in this series with recurrence rates comparable with open approaches.

Original languageEnglish (US)
Pages (from-to)591-600
Number of pages10
JournalAmerican Journal of Rhinology
Volume21
Issue number5
DOIs
StatePublished - Sep 2007
Externally publishedYes

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Inverted Papilloma
Recurrence
Tertiary Healthcare
Retrospective Studies
Demography

Keywords

  • Endoscopic sinus surgery
  • Endoscopic-assisted
  • Image-guidance
  • Intraoperative CT
  • Inverted papilloma
  • Inverting papilloma
  • Recurrence
  • Sinonasal tumor

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Clinical outcomes of endoscopic and endoscopic-assisted resection of inverted papillomas : A 15-year experience. / Woodworth, Bradford A.; Bhargave, Geeta A.; Palmer, James N.; Chiu, Alexander G; Cohen, Noam A.; Lanza, Donald C.; Bolger, William E.; Kennedy, David W.

In: American Journal of Rhinology, Vol. 21, No. 5, 09.2007, p. 591-600.

Research output: Contribution to journalArticle

Woodworth, BA, Bhargave, GA, Palmer, JN, Chiu, AG, Cohen, NA, Lanza, DC, Bolger, WE & Kennedy, DW 2007, 'Clinical outcomes of endoscopic and endoscopic-assisted resection of inverted papillomas: A 15-year experience', American Journal of Rhinology, vol. 21, no. 5, pp. 591-600. https://doi.org/10.2500/ajr.2007.21.3086
Woodworth, Bradford A. ; Bhargave, Geeta A. ; Palmer, James N. ; Chiu, Alexander G ; Cohen, Noam A. ; Lanza, Donald C. ; Bolger, William E. ; Kennedy, David W. / Clinical outcomes of endoscopic and endoscopic-assisted resection of inverted papillomas : A 15-year experience. In: American Journal of Rhinology. 2007 ; Vol. 21, No. 5. pp. 591-600.
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abstract = "Background: The endoscopic resection of sinonasal inverted papillomas (IPs) has been well described. However, the majority of published reports in the literature are small case series with limited clinical follow-up. The aim of this retrospective study was to review the experience with the endoscopic and endoscopic-assisted resection of IPs at a major academic tertiary care facility and assess long-term outcomes. Methods: A retrospective review of endoscopic and endoscopic-assisted resections of IP was performed. Charts were reviewed for standard demographic data, operative technique, adjuvant approaches, complications, and postoperative follow-up times. Results: One hundred fourteen patients (average age, 56 years) underwent endoscopic or endoscopic-assisted resection for IPs with a mean disease-free follow-up of 40 months (7-135 months). Seventeen patients developed disease after endoscopic or endoscopic-assisted resection for a recurrence rate of 15{\%}. Average time to recurrence was 23 months. Combined approaches were used when indicated in 34{\%} (39/114) of patients, including adjuvant osteoplastic flap, midface degloving, trephine, or Caldwell-Luc approaches. Four patients (4{\%}) had cerebrospinal fluid leaks that were successfully repaired endoscopically. Conclusion: In this large series of endoscopically resected IPs with extensive clinical follow-up, recurrences occurred an average of 23 months after the procedure. This emphasizes the importance of long-term endoscopic follow-up to detect recurrences in all patients. Endoscopic or endoscopic-assisted resection of IPs is a valid technique in this series with recurrence rates comparable with open approaches.",
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T2 - A 15-year experience

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AU - Bhargave, Geeta A.

AU - Palmer, James N.

AU - Chiu, Alexander G

AU - Cohen, Noam A.

AU - Lanza, Donald C.

AU - Bolger, William E.

AU - Kennedy, David W.

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N2 - Background: The endoscopic resection of sinonasal inverted papillomas (IPs) has been well described. However, the majority of published reports in the literature are small case series with limited clinical follow-up. The aim of this retrospective study was to review the experience with the endoscopic and endoscopic-assisted resection of IPs at a major academic tertiary care facility and assess long-term outcomes. Methods: A retrospective review of endoscopic and endoscopic-assisted resections of IP was performed. Charts were reviewed for standard demographic data, operative technique, adjuvant approaches, complications, and postoperative follow-up times. Results: One hundred fourteen patients (average age, 56 years) underwent endoscopic or endoscopic-assisted resection for IPs with a mean disease-free follow-up of 40 months (7-135 months). Seventeen patients developed disease after endoscopic or endoscopic-assisted resection for a recurrence rate of 15%. Average time to recurrence was 23 months. Combined approaches were used when indicated in 34% (39/114) of patients, including adjuvant osteoplastic flap, midface degloving, trephine, or Caldwell-Luc approaches. Four patients (4%) had cerebrospinal fluid leaks that were successfully repaired endoscopically. Conclusion: In this large series of endoscopically resected IPs with extensive clinical follow-up, recurrences occurred an average of 23 months after the procedure. This emphasizes the importance of long-term endoscopic follow-up to detect recurrences in all patients. Endoscopic or endoscopic-assisted resection of IPs is a valid technique in this series with recurrence rates comparable with open approaches.

AB - Background: The endoscopic resection of sinonasal inverted papillomas (IPs) has been well described. However, the majority of published reports in the literature are small case series with limited clinical follow-up. The aim of this retrospective study was to review the experience with the endoscopic and endoscopic-assisted resection of IPs at a major academic tertiary care facility and assess long-term outcomes. Methods: A retrospective review of endoscopic and endoscopic-assisted resections of IP was performed. Charts were reviewed for standard demographic data, operative technique, adjuvant approaches, complications, and postoperative follow-up times. Results: One hundred fourteen patients (average age, 56 years) underwent endoscopic or endoscopic-assisted resection for IPs with a mean disease-free follow-up of 40 months (7-135 months). Seventeen patients developed disease after endoscopic or endoscopic-assisted resection for a recurrence rate of 15%. Average time to recurrence was 23 months. Combined approaches were used when indicated in 34% (39/114) of patients, including adjuvant osteoplastic flap, midface degloving, trephine, or Caldwell-Luc approaches. Four patients (4%) had cerebrospinal fluid leaks that were successfully repaired endoscopically. Conclusion: In this large series of endoscopically resected IPs with extensive clinical follow-up, recurrences occurred an average of 23 months after the procedure. This emphasizes the importance of long-term endoscopic follow-up to detect recurrences in all patients. Endoscopic or endoscopic-assisted resection of IPs is a valid technique in this series with recurrence rates comparable with open approaches.

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