| Autor: |
Lucyna Klimczak-Gołąb, Przemysław Pencak, Małgorzata Witkowska, Tomasz Lepich, Estera Jagosz-Kandziora, Jarosław Markowski, Tatiana Gierek, Jarosław Paluch, Jacek Pająk |
| Rok vydání: |
2011 |
| Předmět: |
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| Zdroj: |
Otolaryngologia Polska. 65:10-14 |
| ISSN: |
0030-6657 |
| DOI: |
10.1016/s0030-6657(11)70647-3 |
| Popis: |
Summary Introduction Papillomas of nasal cavity and paranasal sinuses according to WHO classification (1991) are divided into inverted papilloma, exophytic papilloma and cylindrical papilloma. Inverted papillomas expand most aggressively and turn malignant more often than others. Papillomas in sinonasal mucous membranes are considered pre-neoplastic condition, where the HPV virus is responsible for its aetiology. A sub-group of oncogenetic viruses is made up of: HPV 16, 18, 21. The results of epidemiological studies indicate some 20% risk of occurrence of neoplasm in case of stated local HPV viremia. Aim The aim of this study was to present diagnostic procedures (especially computed tomography examination and histopatological examination), classification and treatments methods (comparison of FESS technique and traditional via external approach) of inverted papillomas. Material and methods Material consists of 8 cases of inverted papillomas: 7 cases of nasal cavity and paranasal sinuses and 1 case of sinonasal and middle ear inverted papillomas treated surgically in ENT Department of Silesian Medical University. Patients admitted to our Department usually suffering from unilateral nasal obstruction, purulent and bloody rhinorrhoea from the nose and headache. On otolaryngological examination has been detected a lively red granulation, which filled all nasal meatus and tympanic cavity. Results All patients were treated surgically (FESS technique or traditional). The recurrence rate of our group was 25% (2 case for 8 treated) with a mean 2 years follow-up. Conclusions Classification and clinic – histopathological analysis of Schneiderian papillomas in this article were introduced. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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