본문 바로가기
KERD
논문KCI 등재

반전성 유두종의 수술접근방법에 따른 임상적 분석

Clinical Analysis of Sinonasal Inverted Papilloma according to Surgical Approach

김기태|이상준|이현순|전경명|노환중
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2004.07|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제47권 제7호|pp. 645-649

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

반전성 유두종·비부비동·내시경.Inverted papiloma· Paranasal sinuses· Endoscopy.
주제분류이비인후과학

초록

Abstract

Background and Objectives：This study was designed to compare the clinical outcomes according to surgical approach of extranasal, endonasal endoscopic, and a combined approach of the two, suggesting the indication of each surgical approach for excision of sinonasal inverted papiloma (IP). Subjects and Method：Fifty-six IP patients who had been operated at the de-assessed. The patients were arbitrarily divided into three groups such as excision through extranasal approach (EEA), endonasal endoscopic excision (EEE), and EE combined with Caldwell-Lucs aproach (EEE+ C-L) group. Results：The most com-monly afected sites by CT/MRI preoperatively was the nasal cavity folowed in the decreasing order of frequency by maxilary, ethmoid, sphenoid, and frontal sinus. In the EEA group, the originated sites were the nasal cavity (2/6), maxillary (1/6), and frontal sinus (2/6). In the EE group, the origin sites by operative findings were the nasal cavity (30/41), maxillary (5/41), sp-henoid (3/41), and ethmoid (2/41) sinus. In the E + C-L group, eight cases (8/9) originated from the maxillary sinus. There were six cases associated with malignant tumors, five synchronous and one metachronous, treated combined with radiotherapy (1/6) in EEA, 14.6% (6/41) in EE and 10.1% (1/9) in EEE+C-L group, and there was no significant diference acording to surgical approaches. Conclusion：E yielded a sucesful outcome only when the IP was limited to the originating sites of nasal cavity, medial and uper wall of maxillary sinus, ethmoid sinus, and sphenoid sinus. The complete removal of the tumor by EE alone could not be achieved when the tumor was originated from the anterior, inferior, and posterolateral wall of maxillary sinus, requiring aplication of C-Ls aproach at the same time. EA can be used with more benefits than EE when the tumor is originated from the frontal sinus or when the mas tends to invade extensively.

참고문헌 (20)

  1. Levine HL, "Controversies in the management of inverted papilloma:Endoscopic management of inverted papilloma", 9, pp.81~83 (1995)
  2. Loewy A, "Inverted papilloma of the nasalcavity", 84, pp.61~67 (1966)
  3. Ringertz N, "Pathology of malignant tumor arising in the nasal andparanasal cavities and maxilla", 27, pp.31~42 (1938)
  4. Krans DH, "Lateral rhinotomy approach to inverted papilloma", 9, pp.77~80 (1995)
  5. Conley J, "Deglovingapproach for total excision of inverted papilloma", 94, pp.1595~1598 (1984)
  6. Ward N, "A mirror of the practice of medicine and surgery in thehospitals of London", 2, pp.480~482 (1854)
  7. Biller H, "The role of conservativesurgery in the management of inverted papilloma", 93, pp.148~155 (1983)
  8. Stinziano GD, "Microscopic rhinoscopy inthe treatment of inverted papillomas", 94, pp.662~663 (1984)
  9. Wigand ME, "Results of endoscopic sinus surgery for thetreatment of inverted papillomas", 102, pp.917~922 (1992)
  10. Girgis SJ, "Endoscopic surgical treatment of nasaland paranasal sinus inverted papilloma", 109, pp.988~995 (1993)
  11. Gross CW, "Preliminary report:Endoscopic versus external surgery in the management of invertingpapilloma", 104, pp.415~419 (1994)
  12. Lavertu P, "Conervation surgeryfor inverted papillomas", 13, pp.442~445 (1991)
  13. Vrabec DP, "The inverted schneiderian papilloma:A 25-year study", 104, pp.582~605 (1994)
  14. Park JC, "Longtermoutcomes of transnasal endoscopic and extranasal managementin inverted papilloma of nasal cavity and paranasal sinuses", 43, pp.291~295 (2000)
  15. Roh HJ, "Endoscopic surgery of rhinosinus tumor", 9, pp.254~262 (1998)
  16. Lee SJ, "Treatment of inverted papilloma:Role of conservative surgery using nasal endoscopy", 39, pp.1151~1160 (1996)
  17. Krouse JH, "Development of a staging system for inverted papilloma", 110, pp.965~968 (2000)
  18. Esclamado RM, "Squamous cell carcinoma arisingin inverted papilloma", 105, pp.178~183 (1995)
  19. Zaveri VD, "Different optionsfor treatment of inverting papilloma of the nose and paranasal sinuses:A report of 41 cases", 102, pp.231~236 (1992)
  20. Fernau JL, "Managementof inverted papilloma", 100, pp.481~490 (1990)

관련 논문AI추천

비강 및 부비동에 발생한 반전성 유두종 : 102예의 분석구본석, 김아영, 나기상, 민인규, 박석원, 박찬희대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2003 · 제46권 제8호부비동에 발생한 도립유두종의 수술 전략김성동, 노환중, 문수진대한이비인후과학회 부산,울산,경남 지부회 · 임상이비인후과2024 · 제35권 제2호반전성 유두종의 전산화 단층 촬영 소견김상우, 김효열, 동헌종, 정승규대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2004 · 제47권 제10호비강 및 부비동 양성종양의 비내시경적 치료의 장기간 추적관찰김용대, 배창훈, 송시연대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2005 · 제48권 제7호상악동 기원의 반전성 유두종의 수술법에 따른 결과 비교: 전누골와 접근법과 Caldwell-Luc 접근법강명주, 김미라, 김상연, 김신혜, 김용완, 박병후, 박영준, 백무진, 서태경대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2021 · 제64권 제3호반전성 유두종에 동반된 편평세포암종의 임상적 특성과 치료 결과: 비부비동 편평세포암종과의 비교강재윤, 김용민, 나기상, 박수경대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2022 · 제65권 제5호

이 간행물의 다른 논문 (7건)

중이 진주종에서 혈관형성인자의 발현황문섭, 한태희, 박성국, 엄재욱, 고의경, 백무진, 방의경pp. 617-625노인의 돌발성 난청전경명, 이일우, 최진식, 왕수건, 조규섭, 고의경pp. 626-631호흡기 상피세포에서 Vasoactive Intestinal Peptide에 의한 MUC2/5AC 생성이형중, 송계원, 신재흔, 김용대, 곽동석, 송시연, 장근영pp. 639-644소아에서 구인두 연하의 시간적 분석박영학, 김민식, 조승호, 송창은, 박찬순, 전범조, Jeri A Logemannpp. 661-664소아의 구강내 하마종에서 Picibanil？？ 치료정승원, 우정수, 이흥만, 황순재, 박일호, 정명호pp. 665-668
원문 보기