Papilom inversat. Tumorile benigne rinosinusale

Papilom inversat rinosinusal - cura endoscopică | Spitalul Monza

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The procedure implies surgical excision of the lateral nasal papilom inversat and ethmoid sinus. This technique is aided by the usage of adequate instruments, such as 0° and 70° scopes and angulated surgical in­struments, which allow the complete visualization and access to the maxillary sinus. The authors present, as an endoscopic surgical atlas, step by step, the surgical procedure for endoscopic approach of inverted papilloma, in order to reach a complete tumor removal without any leftovers.

Keywords papilom inversat maxillectomy, inverted papilloma, endoscopic sinus surgery Rezumat Tehnica maxilectomiei mediale reprezintă standardul de aur în tratamentul chirurgical al papilomului inversat, deoarece oferă o expunere adecvată a peretelul nazal lateral şi a sinusului maxilar.

Maxilectomia maxilară medială pentru papilomul inversat

Intervenţia include excizia chirurgicală a peretelui nazal lateral şi a sinusului etmoidal. Această tehnică este posibilă prin folosirea instrumentarului adecvat, a tijelor de 0° şi 70° şi a instrumentelor chirurgicale angulate, care permit vizualizarea intraductal papilloma cancer risk accesul complet spre sinusul maxilar.

  • Maxilectomia maxilară medială pentru papilomul inversat Nasal inverted papilloma
  • Prin numeroase studii a fost identificată prezența virusului papiloma uman în mostrele de papilom invertit hibridizate in situ cu sonde de ARN specific subtipurilor virale HPV 6, 11, 16 și

Autorii prezintă, ca un atlas de chirurgie endoscopică, paşii acestei tehnici chirurgicale de abord endoscopic al papilomului inversat, în vederea exciziei complete a tumorii, fără nicio restanţă.

Cuvinte cheie maxilectomie medială papilom inversat chirurgie sinuzală endoscopică Introduction Inverted papilloma represents an invasive, unilate­ral, benign tumoral mass, papilom inversat has its origin in the nasal mucosa and presents a risk of malignancy.

It is most commonly located on the lateral nasal wall, extended to papilom inversat maxillary and ethmoid sinus 1. When it has its origin in the maxillary sinus, the elected technique is represented by endoscopic medial maxillectomy.

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Papilom inversat papilom inversat aims to enable the access to the maxillary sinus, superior to the combined middle and inferior meatus approach. In the last decades, with the development of endoscopic and imagistic techniques, the endoscopic approach replaced the external procedures, as it presents similar success rates, lower morbidity and better esthetic outcomes for the patient 2.

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Papilom inversat, endoscopic approach was proven to allow the better evaluation of nasal mucosa. The indications for endoscopic medial maxillectomy include inverted papilloma, nasopharyngeal angiofibroma and pterygomaxillary fossa pathology 3. The diagnostic protocol depends on a computed tomography, which illustrates the extension and place of attachment of papilom inversat tumor.

Papilom inversat rinosinusal - cura endoscopică | Spitalul Monza

This image shows the left maxillary sinus completely occupied by a tumoral mass, extended to the left nasal fossa, hyperostosis of the maxillary sinus walls and an anterior bony thickening, representing the origin of the tumor Figure 1.

Figure 1.

  • Tumorile benigne rinosinusale Schneiderian papilloma hpv
  • Gaura de vierme pentru adulți
  • Tumorile benigne rinosinusale
  • Metastatic cancer lymph nodes
  • Afecțiuni dentare pediatrice
  • Papilloma on inner lip
  • Maxilectomia maxilară medială pentru papilomul inversat
  • Cuticula densă în viermele rotund

CT image, coronal section, showing complete blockage of the maxillary sinus, hyperostosis and tumoral origin arrow The first surgical step includes antero-posterior ethmoidectomy, with the excision of the tumor from this level and from the middle meatus. We used a piece-meal resection, using bipolar electrocoagulation for hemostasis Figure 2. Figure 2.

Schneiderian papilloma hpv, RMR_Nr-2__Artpdf

Intraoperative aspect of ethmoidectomy with tumor excision After ethmoidectomy and clearing of the middle meatus, the resection of the inferior turbinate and sinonasal papilom inversat is performed.

This technique allows papilom inversat complete resection of the tumor and a good visualisation of the maxillary sinus extensions Figure 3. Figure 3. Endoscopic resection of the inferior papilom inversat and lateral nasal wall Medial maxillectomy offers an optimal access to the maxillary sinus, with the complete resection of the tumor and the identification of the tumor origin.

It represents the key point of tumor resection in order to avoid any leftovers Figure 4.

Inverted Papilloma

Figure 4. The identification of the tumor origin using the 70° scope The deperiostation of the tumor attachment is required, as it lowers the risk of recurrence. We can succeed in this procedure using an angulated curette Figure 5 or an angulated diamond burr, papilom inversat on the position of the bony stalk or hyperostosis. Figure 5.

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The deperiostation of tumor origin Final image of the widely opened medial maxillectomy ostium and resorbable sponge applied in the maxillary sinus. This procedure does not require the usage of a papilom inversat sponge Figure 6. Figure 6. Final image with resorbable sponge applied Conclusions Inverted papilloma is a benign tumor with recurrence and malignancy potential.

  1. Source: Romanian Medical Journal.
  2. Sarcoma cancer examples
  3. Papilloma sul palato
  4. Intraductal papilloma lesion

Recurrence is in papilom inversat a papilom inversat residue. The endoscopic medial maxillectomy is the elected technique for complete tumoral resection and ensures a superior approach to the maxillary sinus and also lowers the risk of recurrence. Conflict of interests: The authors declare no conflict of interests.

Tratament LASER pentru papiloame, Dr. Stefan Jianu, ProEstetica

Sinonasal inverted papilloma: A case report and mini review of histopathological features. Journal of Oral and Maxillofacial Pathology. Cunningham K, Welch K.

Nasal inverted papilloma,

Endoscopic medial maxillectomy. Operative Techniques in Otolaryngology. Transnasal endoscopic medial maxillectomy for inverting papilloma. The Laryngoscope.

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