Management of frontal sinus and frontal recess inverted papilloma: our experience and systematic review.

IF 2.1 4区医学 Q2 OTORHINOLARYNGOLOGY Acta Otorhinolaryngologica Italica Pub Date : 2024-08-01 DOI:10.14639/0392-100X-N2331

Piergiorgio Gaudioso, Alessandro Vinciguerra, Benjamin Verillaud, Philippe Herman

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Abstract

Objective: For frontal sinus inverted papilloma (FSIP) management, an endoscopic endonasal approach (EEA) can be combined (or not) with an external approach by an osteoplastic flap (OPF) or with a more conservative open approach. The present study aims to describe our experience in the management of FSIP, focusing on disease-related and anatomical features influencing outcomes and recurrence.

Methods: This case series of FSIP investigated anatomical and disease-related predictors of recurrence associated with EEA or a combined EEA-OPF approach. A systematic review was also performed, selecting publications on IP with the insertion point in the frontal sinus or frontal recess.

Results: Among 30 patients included, 18 underwent EEA, while 12 received a combined EEA-OPF approach. During a median follow-up of 37 months, the frontal sinus was cleared of IP in all cases except 2 in the EEA group, who presented a complex posterior wall shape of the frontal sinus. From the systematic review, a combined EEA-OPF approach was associated with a lower risk of recurrence.

Conclusions: A correct indication for a combined EEA-OPF approach is paramount and should integrate all disease-related and anatomical features, including posterior wall shape.

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额窦和额凹倒置乳头状瘤的治疗：我们的经验和系统回顾。

目的：在额窦倒置乳头状瘤（FSIP）的治疗中，内窥镜鼻内入路法（EEA）可与骨整形皮瓣外入路法（OPF）或更保守的开放入路法相结合（或不相结合）。本研究旨在介绍我们在治疗 FSIP 方面的经验，重点是影响疗效和复发的疾病相关特征和解剖特征：本FSIP系列病例调查了与EEA或EEA-OPF联合方法相关的复发的解剖和疾病相关预测因素。此外，还进行了系统性回顾，选择了有关插入点位于额窦或额凹的 IP 的出版物：在纳入的 30 名患者中，18 人接受了 EEA，12 人接受了 EEA-OPF 联合方法。在 37 个月的中位随访期间，除 2 例 EEA 组患者额窦后壁形状复杂外，其余患者的额窦 IP 均已清除。从系统回顾来看，EEA-OPF联合方法的复发风险较低：结论：EEA-OPF联合方法的正确适应症至关重要，应综合所有疾病相关特征和解剖特征，包括后壁形状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Otorhinolaryngologica Italica OTORHINOLARYNGOLOGY-

CiteScore

3.40

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Otorhinolaryngologica Italica first appeared as “Annali di Laringologia Otologia e Faringologia” and was founded in 1901 by Giulio Masini. It is the official publication of the Italian Hospital Otology Association (A.O.O.I.) and, since 1976, also of the Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale (S.I.O.Ch.C.-F.). The journal publishes original articles (clinical trials, cohort studies, case-control studies, cross-sectional surveys, and diagnostic test assessments) of interest in the field of otorhinolaryngology as well as clinical techniques and technology (a short report of unique or original methods for surgical techniques, medical management or new devices or technology), editorials (including editorial guests – special contribution) and letters to the Editor-in-Chief. Articles concerning science investigations and well prepared systematic reviews (including meta-analyses) on themes related to basic science, clinical otorhinolaryngology and head and neck surgery have high priority.