상악동에 발생한 반전성 유두종에서 종양 기원 부위에 따른 통합적 수술방법의 전략

박영대; 윤빛나; 조규섭; 김용완; 노환중

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자료유형: 학술저널

저자정보: 박영대 윤빛나 조규섭 김용완 노환중

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제53권 제3호

발행연도: 2010.1

수록면: 148 - 152 (5page)

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연구방법

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연구결과

초록· 키워드

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Background and Objectives The objective of this study is to determine the appropriate surgical approach for the resection of inverted papilloma (IP) involving the maxillary sinus (MS)according to the site of tumor origin in the MS. Subjects and MethodZZTwenty-six patients who underwent surgery from January 2002 to April 2008 for IP originating from the MS were reviewed retrospectively in regard to the type of integrated surgical approach, site of tumor origin in the MS and the follow-up clinical results. ResultsZZTen cases (38.4%) originated from medial wall of the MS; of these, four EES (endonasal endoscopic surgery), two EMM (endoscopic medial maxillectomy), two EES+CP (canine puncture), and two EES+CLA (Caldwell-Luc’s approach) were performed. EES+CP procedure were performed in all three cases (11.5%) of the anterior wall origin. One case (3.8%) that originated from the posterolateral wall was removed by EES+CLA. Four cases (15.3%) originated from the medial-posterolateral wall. Two EES, and one each of EMM and EES+CLA were performed. Three cases (11.5%) originated from the superior-posterolateral wall, of which two cases were removed by EES and the other by EES+CLO (Caldwell-Luc’s operation). Two cases of inferior-anterior wall and inferior-posterolateral wall were removed by EES+CLO and EES+CLA, respectively. EES+CLO were performed for three cases of the whole wall origin (11.5%). Two recurrent cases were found in each of EES and EES+CLO. ConclusionZZIP originated from the MS were successfully managed by EES alone or EES combined with other approaches such as CP, CLA, CLO and EMM. These integrated approaches need to be applied in a gradual manner from less severe to more aggressive cases. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:148-52

#Inverted papilloma·Maxillary sinus.

참고문헌 (15)

참고문헌 신청

Busquets JM / 2006 / Endoscopic resection of sinonasal inverted papilloma: a meta-analysis / Otolaryngol Head Neck Surg 134 (3) : 476 ~ 482

Dolgin SR / 1992 / Different options for treatment of inverting papilloma of the nose and paranasal sinuses: a report of 41 cases / Laryngoscope 102 (3) : 231 ~ 236

Kamel R / 2005 / Inverted papilloma: new classification and guidelines for endoscopic surgery / Am J Rhinol 19 (4) : 358 ~ 364

Lawson W / 2003 / Treatment outcomes in the management of inverted papilloma: an analysis of 160 cases / Laryngoscope 113 (9) : 1548 ~ 1556

Lee CH / 1996 / Treatment of inverted papilloma: role of conservative surgery using nasal endoscopy / Korean J Otolaryngol-Head Neck Surg 39 (7) : 1151 ~ 1160

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