Surgery in the inverted papillomas of the nose

Abstract

Introduction: Inverted papillomas is a benign tumor that affects nasal cavity and paranasal sinuses; histologically classified as oncocytic, inverted papillomas and fundiform or exophytic. Signs and symptoms include unilateral nasal obstruction, rhinorrhea, headache, epistaxis, anosmia. The certainty diagnosis is given by pathology, and in diagnosis are also used imaging methods to determine the extent of the tumor. There is a certain percentage of association of this pathology with squamous carcinoma. The treatment is surgical. Aim: To evaluate the clinical and surgical characteristics of inverted papillomas that were operated in the Department of ENT in the Hospital School of Medical Sciences, UNA. Material and method: In this observational and descriptive work were studied cases of inverted papilloma operated at the Hospital from 1994 to 2008, by reviewing records of consecutive cases and analyzing the surgeries performed. Results: 30 cases in which the majority were Stage II and III of Krause, with an overall of 30%, relapse with a malignancy of 17%. Discussion: In this series of patients we observed tumors with low extension but with malignant transformation which elevated them to stage IV Krause. Conclusion: We suggest trying the most radical possible surgery provided with the full consent and knowledge of the patient.