Publication: Sinonasal inverted papilloma in eastern part of Nepal
Date
2006
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Objective: To evaluate the clinicopathological profile of sinonasal inverted papilloma in a tertiary referral center in
eastern part of Nepal.
Methods: A prospective study consisting of total 28 histologically proven cases of sinonasal inverted papilloma was
conducted in the ENT department of the center. The study period was from April 2002 to November 2005.
Result: Out of 28 cases studied, 21 were males and 7 were females with male to female ratio of 3:1. The highest
incidence was seen in the 5 th and 6 th decades of life. The duration of symptoms varied from 5 months to 20 years
with mean duration of 3.9 years. The lateral nasal wall and nasal cavity involvement was seen in all 28 cases.
Maxillary sinus was involved in 27(96.4%) subjects followed by ethmoid (20), sphenoid (10) and the frontal sinus
(7). The principle presenting symptom was nasal obstruction seen in 96.4% of the patients. Twenty two cases were
treated by lateral rhinotomy with medial maxillectomy while, orbital exenteration was done in two cases. Associated
carcinoma was noticed in 10.15% of all the subjects studied.
Conclusion: Sinonasal papilloma mostly presented in fifth to six decades of life mainly affecting the male patients.
Majority of the patients were treated by lateral Rhinotomy with medial maxillectomy surgery. Early presentation
would have given chances for endoscopic surgery.
Key words: Sinonasal inverted papilloma, lateral Rhinotomy, medial maxillectomy.
Description
Bhandary S 1
, Singh RK 2, Shrestha S3, Sinha AK4, Badhu BP5, Karki P6
1
Associate Professor, 2,3
Assistant Professor, Department of Otolaryngology Head and Neck Surgery, 4
Associate
Professor, Department of Pathology, 5
Additional Professor, Department of Ophthalmology, 6
Professor, Department
of Internal Medicine, B.P. Koirala Institute of Health Science, Dharan, Nepal