复发性鼻腔鼻窦内翻性乳头状瘤的临床分析

目的:探讨复发性鼻腔鼻窦内翻性乳头状瘤经鼻内镜手术的疗效。方法:回顾性分析7例复发性鼻 腔鼻窦内翻性乳头状瘤患者经鼻内镜切除的疗效,并与14例经鼻侧切开术进行比较分析。结果:7例经鼻内镜 手术者术后随访时间为1～3年,14例经鼻侧切开手术者术后随访时间为1～10年,均未见肿瘤再次复发。结 论:经鼻内镜手术是治疗复发性鼻腔鼻窦内翻性乳头状瘤的有效方法。

Surgical analysis of sinonasal inverting papilloma with recurrence

OBJECTIVE: To investigate the effectiveness of intranasal endoscopic surgery of sinonasal inverting papilloma with recurrence. METHOD: Retrospective comparative analysis of intranasal endoscopic surgery on 7 patients and lateral rhinotomy on 14 patients of sinonasal inverting papilloma with recurrence. RESULT: All the 21 cases with recurrence had suffered sinonasal surgery such as lateral rhinotomy, endoscopic surgery, intranasal surgery, Caldwell-Luc operation and nasal polypectomy. Among them, 14 cases recurred once, 4 cases recurred 2 times, 2 cases recurred 3 times and 1 case recurred 5 times. The recurrence time ranged from 1 month to 12 years, and the mean time was 20 months. There was no recurrence both in 7 patients with intranasal endoscopic surgery during 1-3 years' follow-up and in 14 patients with lateral rhinotomy during 1-10 years' follow-up. CONCLUSION: The intranasal endoscopic surgery is an effective management for sinonasal inverting papilloma with recurrence.