Sinonasal inverted papilloma extirpation by endoscopic approach: a case report

Teuku Husni TR; Ridha Chaharsyah  Mulya

doi:10.15562/bmj.v12i2.4060

Sinonasal inverted papilloma extirpation by endoscopic approach: a case report

Teuku Husni TR ,

Ridha Chaharsyah Mulya ,

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DOI: https://doi.org/10.15562/bmj.v12i2.4060 |
Published: 2023-05-25

Abstract

Introduction: Inverted papilloma is a benign tumor that generally arises from the lateral wall of the nasal cavity and mostly grows on the middle meatus.The incidence is rarely found in the ear, throat, nose, throat, head and neck, which is around 0.5% -4% of all nasal and paranasal sinus tumors.The etiology of inverted papilloma remains unknown.Clinical features of inverted papilloma are unilateral nasal obstruction, rhinorrhea, epistaxis, anosmia, tinnitus and some other symptoms.The diagnostic examination are histopathological examinations, CT scans and magnetic resonance imaging (MRI). Histopathology is the gold standard in diagnosing of inverted papilloma.Management of inverted papilloma is carried out with surgical approach including lateral rhinotomy, maxillectomy, degloving, and non-invasive surgery via endoscopy depending to the krouse classification.

Case description: A 44-year-old female patient diagnosed with inverted papilloma was reported.The patient complained of progressive right nasal obstruction appeared two years ago which turned into total obstruction and rhinorrhea in the last 6 months.A biopsy was done with the result of inverted papilloma. CT scan of the paranasal sinuses showed a mass filling the right nasal cavity, right maxillary sinus and right ethmoid sinus. Patientwas diagnosed with sinonasal inverted papilloma with Krouse 2 classification based on clinical examination, radiological findings and preoperative endoscopy. The patient was treated with sinonasal inverted papilloma extirpation via endoscopic approach.

Conclusion: Inverted papilloma is a benign tumor of the nasal and paranasal sinuses in which biopsy is the gold standard for diagnostic test while the main treatment is done by surgical approach depending on the krouse classification.

References

Jonas TR, Bailey D. Head and Neck Surgery, Otolaryngology Review 5th editionervus Lippincott Williams and Wilkins; English; 2014.
Hanriko R, Muhartono M. Papilloma and sinonasal carcinoma. Medicine Journal. 2017;3(1):14-18.
Wassef SN, Batra PS, Barnett S. Skull base inverted papilloma: a comprehensive review. ISRN Surg. 2012;2012:175903.
Thapa N. Diagnosis and Treatment of Sinonasal Inverted Papilloma. Nepalese Journal of ENT Head and Neck Surgery. 2013;1:1-4.
Lisan Q, Laccourreye O, Bonfils P. Sinonasal inverted papilloma: From diagnosis to treatment. Eur Ann Otorhinolaryngol Head Neck Dis. 2016;133(5):337-341.
Yalamanchili S. Why should disorders of the ear, nose and throat be treated by the same specialty? Can this situation persist? J Laryngol Otol. 2009;123(4):367-71.
Shah J. Head and Neck Surgery and Oncology Fourth Edition. New York: Elsevier; 2012.
Snow JB. Ballengers Otorhinolaryngology-Head and Neck Surgery 17 Edition. Shelton: People Medical Publishing House; 2009.
Khandekar S, Dive A, Mishra R, Upadhyaya N. Sinonasal inverted papilloma: A case report and mini review of histopathological features. J Oral Maxillofac Pathol. 2015;19(3):405-409.
Shah D, Jadhav PL, Pati PS, Gupta RK, Verma G, et al. Computed Tomography Evaluation of Sinonasal Inverted Papilloma Characteristics with Origins of Tumors. International Journal of Contemporary Medicine Surgery and Radiology. 2018;4(3):C258-C262.
Lee DK, Chung SK, Dhong HJ, Kim HY, Kim HJ, Bok KH. Focal hyperostosis on CT of sinonasal inverted papilloma as a predictor of tumor origin. AJNR Am J Neuroradiol. 2007;28(4):618-21.
Eid M., Eissa L. Imaging of sino-nasal inverted papilloma: How can we emphasize the usefulness of the “striated pattern” sign. Egyptian Journal of Radiology and Nuclear Medicine. 2020;51(2):1-5.
Attlmayr B, Derbyshire SG, Kasbekar AV, Swift AC. Management of inverted papilloma: review. J Laryngol Otol. 2017;131(4):284-289.
Bugter O, Monserez DA, van Zijl FVWJ, Baatenburg de Jong RJ, Hardillo JA. Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up. J Otolaryngol Head Neck Surg. 2017;46(1):67-72.
Wu V, Siu J, Yip J, Lee JM. Endoscopic management of maxillary sinus inverted papilloma attachment sites to minimize disease recurrence. J Otolaryngol Head Neck Surg. 2018;47(1):24-29.

[1] Jonas TR, Bailey D. Head and Neck Surgery, Otolaryngology Review 5th editionervus Lippincott Williams and Wilkins; English; 2014.

[2] Hanriko R, Muhartono M. Papilloma and sinonasal carcinoma. Medicine Journal. 2017;3(1):14-18.

[3] Wassef SN, Batra PS, Barnett S. Skull base inverted papilloma: a comprehensive review. ISRN Surg. 2012;2012:175903.

[4] Thapa N. Diagnosis and Treatment of Sinonasal Inverted Papilloma. Nepalese Journal of ENT Head and Neck Surgery. 2013;1:1-4.

[5] Lisan Q, Laccourreye O, Bonfils P. Sinonasal inverted papilloma: From diagnosis to treatment. Eur Ann Otorhinolaryngol Head Neck Dis. 2016;133(5):337-341.

[6] Yalamanchili S. Why should disorders of the ear, nose and throat be treated by the same specialty? Can this situation persist? J Laryngol Otol. 2009;123(4):367-71.

[7] Shah J. Head and Neck Surgery and Oncology Fourth Edition. New York: Elsevier; 2012.

[8] Snow JB. Ballengers Otorhinolaryngology-Head and Neck Surgery 17 Edition. Shelton: People Medical Publishing House; 2009.

[9] Khandekar S, Dive A, Mishra R, Upadhyaya N. Sinonasal inverted papilloma: A case report and mini review of histopathological features. J Oral Maxillofac Pathol. 2015;19(3):405-409.

[10] Shah D, Jadhav PL, Pati PS, Gupta RK, Verma G, et al. Computed Tomography Evaluation of Sinonasal Inverted Papilloma Characteristics with Origins of Tumors. International Journal of Contemporary Medicine Surgery and Radiology. 2018;4(3):C258-C262.

[11] Lee DK, Chung SK, Dhong HJ, Kim HY, Kim HJ, Bok KH. Focal hyperostosis on CT of sinonasal inverted papilloma as a predictor of tumor origin. AJNR Am J Neuroradiol. 2007;28(4):618-21.

[12] Eid M., Eissa L. Imaging of sino-nasal inverted papilloma: How can we emphasize the usefulness of the “striated pattern” sign. Egyptian Journal of Radiology and Nuclear Medicine. 2020;51(2):1-5.

[13] Attlmayr B, Derbyshire SG, Kasbekar AV, Swift AC. Management of inverted papilloma: review. J Laryngol Otol. 2017;131(4):284-289.

[14] Bugter O, Monserez DA, van Zijl FVWJ, Baatenburg de Jong RJ, Hardillo JA. Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up. J Otolaryngol Head Neck Surg. 2017;46(1):67-72.

[15] Wu V, Siu J, Yip J, Lee JM. Endoscopic management of maxillary sinus inverted papilloma attachment sites to minimize disease recurrence. J Otolaryngol Head Neck Surg. 2018;47(1):24-29.

Sinonasal inverted papilloma extirpation by endoscopic approach: a case report

Abstract

References

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