Title |
Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up
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Published in |
Journal of Otolaryngology - Head & Neck Surgery, December 2017
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DOI | 10.1186/s40463-017-0246-7 |
Pubmed ID | |
Authors |
Oisín Bugter, Dominiek André Monserez, Floris Vincent Willem Joseph van Zijl, Robert Jan Baatenburg de Jong, Jose Angelito Hardillo |
Abstract |
Our aim was to review our management of inverted papilloma (IP), perform a recurrence analysis, and review the literature. A retrospective analysis of 247 patients treated for an IP. Patients were grouped according to surgical approach, tumor presentation (primary, residual and recurrence) and Krouse-stage. Recurrence was observed in 20.3%, 28.6% and 35.1% (p = 0.017) of the patients who underwent endoscopic, external and combined surgery, respectively. Recurrences occurred more often in residual than primary IP (36.9% vs. 22.3%, p = 0.021). Primary endoscopic surgery had a recurrence rate of 12.5%, which was comparable to the recent literature (11.2%, 161/1433). The relatively high number of recurrences in this cohort is explained by the long follow-up and previous (incomplete) surgery in 61.5% of the cases. The inferior outcome of residual IP underscores the importance of having a low threshold for preoperative biopsy in unilateral and atypical sinonasal disease. |
X Demographics
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Greece | 1 | 100% |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 40 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 8 | 20% |
Other | 4 | 10% |
Student > Ph. D. Student | 4 | 10% |
Student > Doctoral Student | 3 | 8% |
Student > Postgraduate | 3 | 8% |
Other | 2 | 5% |
Unknown | 16 | 40% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 16 | 40% |
Psychology | 2 | 5% |
Agricultural and Biological Sciences | 1 | 3% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 3% |
Biochemistry, Genetics and Molecular Biology | 1 | 3% |
Other | 1 | 3% |
Unknown | 18 | 45% |