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Αλέξανδρος Γ. Σφακιανάκης

Tuesday, January 26, 2021

Need for long‐term follow‐up in sinonasal inverted papilloma: A Single‐institution experience

xlomafota13 shared this article with you from Inoreader

Abstract

Background

Most studies on sinonasal inverted papillomas (SNIPs) regarding risk factors for recurrence, recurrence rates (RRs) and malignant transformation are biased by a significant proportion of revision cases.

Methods

Retrospective study on patients with consecutive, treatment‐naïve SNIPs at a tertiary referral center between 1999 and 2019.

Results

Overall, RR was 9.8% (10 of 102 patients), with 2 of 10 recurrences (20%) occurring after more than 5 years. Histopathological workup revealed synchronous malignancy in 2 of 102 patients (2%). Subgroup analysis revealed a significantly higher RR for SNIPs involving the frontal sinus (26.3% vs 6.0%, P = .02). No SNIPs primarily originating from the frontal sinus were observed.

Conclusion

Overall, RR of treatment‐naïve SNIPs is comparably low; however, long‐term follow‐up is mandatory due to late recurrences. Secondary involvement of the frontal sinus was identified as risk factor for recurrence. No SNIPs primarily originating from frontal sinus were observed.

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