상악동에 발생한 반전성 유두종에서 종양 기원 부위에 따른 통합적 수술방법의 전략
The Integrated Surgical Strategy for Removal of Inverted Papilloma Involving the Maxillary Sinus According to the Site of Tumor Origin
3
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background and Objectives The objective of this study is to determine the appropriate surgical approach for the resection of inverted papilloma (IP) involving the maxillary sinus (MS)according to the site of tumor origin in the MS. Subjects and MethodZZTwenty-six patients who underwent surgery from January 2002 to April 2008 for IP originating from the MS were reviewed retrospectively in regard to the type of integrated surgical approach, site of tumor origin in the MS and the follow-up clinical results. ResultsZZTen cases (38.4%) originated from medial wall of the MS; of these, four EES (endonasal endoscopic surgery), two EMM (endoscopic medial maxillectomy), two EES+CP (canine puncture), and two EES+CLA (Caldwell-Luc’s approach) were performed. EES+CP procedure were performed in all three cases (11.5%) of the anterior wall origin. One case (3.8%) that originated from the posterolateral wall was removed by EES+CLA. Four cases (15.3%) originated from the medial-posterolateral wall. Two EES, and one each of EMM and EES+CLA were performed. Three cases (11.5%) originated from the superior-posterolateral wall, of which two cases were removed by EES and the other by EES+CLO (Caldwell-Luc’s operation). Two cases of inferior-anterior wall and inferior-posterolateral wall were removed by EES+CLO and EES+CLA, respectively. EES+CLO were performed for three cases of the whole wall origin (11.5%). Two recurrent cases were found in each of EES and EES+CLO. ConclusionZZIP originated from the MS were successfully managed by EES alone or EES combined with other approaches such as CP, CLA, CLO and EMM. These integrated approaches need to be applied in a gradual manner from less severe to more aggressive cases. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:148-52
Abstract
Background and Objectives The objective of this study is to determine the appropriate surgical approach for the resection of inverted papilloma (IP) involving the maxillary sinus (MS)according to the site of tumor origin in the MS. Subjects and MethodZZTwenty-six patients who underwent surgery from January 2002 to April 2008 for IP originating from the MS were reviewed retrospectively in regard to the type of integrated surgical approach, site of tumor origin in the MS and the follow-up clinical results. ResultsZZTen cases (38.4%) originated from medial wall of the MS; of these, four EES (endonasal endoscopic surgery), two EMM (endoscopic medial maxillectomy), two EES+CP (canine puncture), and two EES+CLA (Caldwell-Luc’s approach) were performed. EES+CP procedure were performed in all three cases (11.5%) of the anterior wall origin. One case (3.8%) that originated from the posterolateral wall was removed by EES+CLA. Four cases (15.3%) originated from the medial-posterolateral wall. Two EES, and one each of EMM and EES+CLA were performed. Three cases (11.5%) originated from the superior-posterolateral wall, of which two cases were removed by EES and the other by EES+CLO (Caldwell-Luc’s operation). Two cases of inferior-anterior wall and inferior-posterolateral wall were removed by EES+CLO and EES+CLA, respectively. EES+CLO were performed for three cases of the whole wall origin (11.5%). Two recurrent cases were found in each of EES and EES+CLO. ConclusionZZIP originated from the MS were successfully managed by EES alone or EES combined with other approaches such as CP, CLA, CLO and EMM. These integrated approaches need to be applied in a gradual manner from less severe to more aggressive cases. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:148-52
참고문헌 (15)
- Lee TJ, "Endoscopic surgery for recurrent inverted papilloma", Laryngoscope, 114(1), pp.106~112 (2004)
- Wolfe SG, "Endoscopic and endoscope-assisted resections of inverted sinonasal papillomas", Otolaryngol Head Neck Surg, 131(3), pp.174~179 (2004)
- Woodworth BA, "Clinical outcomes of endoscopic and endoscopicassisted resection of inverted papillomas: a 15-year experience", Am J Rhinol, 21(5), pp.591~600 (2007)
- Sadeghi N, "Transnasal endoscopic medial maxillectomy for inverting papilloma", Laryngoscope, 113(4), pp.749~753 (2003)
- Zhang G, "Outcomes of the extended endoscopic approach for management of inverted papilloma", J Otolaryngol, 36(2), pp.83~87 (2007)
- Tanna N, "Transnasal endoscopic medial maxillectomy as the initial oncologic approach to sinonasal neoplasms: the anatomic basis", Otolaryngol Head Neck Surg, 133(11), pp.1139~42 (2007)
- Kamel R, "Inverted papilloma: new classification and guidelines for endoscopic surgery", Am J Rhinol, 19(4), pp.358~364 (2005)
- Lawson W, "Treatment outcomes in the management of inverted papilloma: an analysis of 160 cases", Laryngoscope, 113(9), pp.1548~1556 (2003)
- Busquets JM, "Endoscopic resection of sinonasal inverted papilloma: a meta-analysis", Otolaryngol Head Neck Surg, 134(3), pp.476~482 (2006)
- Myers EN, "Management of inverted papilloma", Larygoscope, 100(5), pp.481~490 (1990)
- Phillips PP, "The clinical behavior of inverting papilloma of the nose and paranasal sinuses: report of 112 cases and review of the literature", Laryngoscope, 100(5), pp.463~469 (1990)
- Lee CH, "Treatment of inverted papilloma: role of conservative surgery using nasal endoscopy", Korean J Otolaryngol-Head Neck Surg, 39(7), pp.1151~1160 (1996)
- Dolgin SR, "Different options for treatment of inverting papilloma of the nose and paranasal sinuses: a report of 41 cases", Laryngoscope, 102(3), pp.231~236 (1992)
- Lesperance MM, "Squamous cell carcinoma arising in inverted papilloma", Laryngoscope, 105(2), pp.178~183 (1995)
- Weissler MC, "Inverted papilloma", Ann Otol Rhinol Laryngol, 95, pp.215~221 (1986)