IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain

Print ISSN: 2581-5210

Online ISSN: 2581-5229

CODEN : IIJAAL

IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain (IJASHNB) open access, peer-reviewed quarterly journal publishing since 2015 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing more...

Article type

Case Report


Article page

104-107


Authors Details

Abhimanyu Kadapathri*, K C Prasad, S M Azeem Mohiyuddin, Pradeep Krishna, Priyanka Das


Article Metrics


View Article As

 


Downlaod Files

   






Article statistics

Viewed: 615

PDF Downloaded: 671


Frontal sinus inverted papilloma: Osteoplastic flap approach


Case Report

Author Details : Abhimanyu Kadapathri*, K C Prasad, S M Azeem Mohiyuddin, Pradeep Krishna, Priyanka Das

Volume : 6, Issue : 3, Year : 2020

Article Page : 104-107

https://doi.org/10.18231/j.ijashnb.2020.027



Suggest article by email

Get Permission

Abstract

Introduction : Inverted papilloma of sinonasal system is a benign tumour comprising of 0.5% to 4% of all nasal tumours having locally aggressive features. Recurrence is common and can cause bone destruction. Clinically, the most common presentation is unilateral nasal obstruction. Isolated frontal sinus inverted papilloma maybe hidden for long time without any symptoms.
Case Report : A 55 yr old man with recurrent sinonasal polyposis who underwent endonasal surgery on multiple occasions presented to us with complaints of unilateral nasal obstruction, anosmia, fronto-temporal headache since 9 years which aggravated during past 6 months . Following admission CT – Para Nasal Sinuses showed sinonasal polyposis involving bilateral frontal , right maxillary sinuses with hyperdense lesions in frontal sinuses and multiple sinus wall erosions with exposure of dura. Patient was planned for Functional Endoscopic Sinus Surgery and osteoplastic flap without frontal sinus obliteration after adequate premedication. Intra-operatively frozen section revealed inverted papilloma histopathologically. Complete
clearance of tumour was achieved via osteoplastic approach.
Conclusion : In our case complete excision of the mass was very important because recurrence after surgery is between 25% -35% for inverted papillomas. There are difficulties in handling papillomas of the frontal sinus. Despite advances in endoscopic sinus surgery these may require open surgical approach to the frontal sinus. So, osteoplastic flap approach provides a safe and effective way to deal with these pathologies.

Keywords: Frontal sinus surgery, FESS, Inverted papilloma, Osteoplastic flap.


How to cite : Kadapathri A, Prasad K C, Mohiyuddin S M A, Krishna P, Das P, Frontal sinus inverted papilloma: Osteoplastic flap approach. IP Indian J Anat Surg Head Neck Brain 2020;6(3):104-107

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.