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  • Title: Preliminary report: endoscopic versus external surgery in the management of inverting papilloma.
    Author: McCary WS, Gross CW, Reibel JF, Cantrell RW.
    Journal: Laryngoscope; 1994 Apr; 104(4):415-9. PubMed ID: 8164479.
    Abstract:
    Since January 1977, twenty-four patients with inverting papilloma of the nose and paranasal sinuses have been treated at the University of Virginia. Two patients had bilateral disease, for a total of 26 surgically treated sides. Patients were aged from 10 to 83 years, and 71% were male. Most tumors originated on the lateral nasal wall, with 62% involving the adjacent sinuses. Nineteen sides were treated by external approach and 7 were treated intranasally. There was a total of 5 recurrences in 4 patients and no associated squamous cell carcinomas. Seven patients were treated with endoscopic excision (4 primary tumors and 3 recurrences). There have been no recurrences since endoscopic treatment. These preliminary data give further evidence that endoscopic excision is a viable surgical option for many inverting papillomas.
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