Managementul papilomului inversat din sinusurile paranazale.
Source: ORL. Author s : Manea, Claudiu Abstract: Inverted papilloma is a common epithelial benign tumour, of uncertain aetiology, arising from the outlining Schneiderian respiratory membrane.
This locally aggressive neoplasm is a lesion of the mucosal membrane of the nasal cavity and the paranasal sinuses, composed of welldifferentiated columnar or ciliated respiratory epithelium. It has a high risk of association with malignancies.
Papilomul invertit. Source: Romanian Journal of Medical Practice. It appears most frequently on the lateral wall, with a maximum incidence at ethmoid sinus level. In most cases it is unilateral, causing nasal obstruction. Treatment implies total resection because of malignity and relapse risk.
Surgery is the primary treatment. After papilloma in sinus, the risk of local recurrence varies with the extent of resection, with an often recurrence if incompletely excised.
We conclude that the endoscopic approach enterobius reservoir proven to become a safe and effective method over the traditional approach. Nevertheless, in cases of advanced tumour stages, or malignancy, the best surgical option is to use a wide access, as radical antrostomy or paralateronasal rhinotomy.
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