반전성 유두종의 수술접근방법에 따른 임상적 분석

노환중; 김기태; 이현순; 이상준; 전경명

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자료유형: 학술저널

저자정보: 노환중 김기태 이현순 이상준 전경명

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제47권 제7호

발행연도: 2004.1

수록면: 645 - 649 (5page)

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연구주제

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연구배경

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연구방법

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Background and Objectives：This study was designed to compare the clinical outcomes according to surgical approach of extranasal, endonasal endoscopic, and a combined approach of the two, suggesting the indication of each surgical approach for excision of sinonasal inverted papiloma (IP). Subjects and Method：Fifty-six IP patients who had been operated at the de-assessed. The patients were arbitrarily divided into three groups such as excision through extranasal approach (EEA), endonasal endoscopic excision (EEE), and EE combined with Caldwell-Lucs aproach (EEE+ C-L) group. Results：The most com-monly afected sites by CT/MRI preoperatively was the nasal cavity folowed in the decreasing order of frequency by maxilary, ethmoid, sphenoid, and frontal sinus. In the EEA group, the originated sites were the nasal cavity (2/6), maxillary (1/6), and frontal sinus (2/6). In the EE group, the origin sites by operative findings were the nasal cavity (30/41), maxillary (5/41), sp-henoid (3/41), and ethmoid (2/41) sinus. In the E + C-L group, eight cases (8/9) originated from the maxillary sinus. There were six cases associated with malignant tumors, five synchronous and one metachronous, treated combined with radiotherapy (1/6) in EEA, 14.6% (6/41) in EE and 10.1% (1/9) in EEE+C-L group, and there was no significant diference acording to surgical approaches. Conclusion：E yielded a sucesful outcome only when the IP was limited to the originating sites of nasal cavity, medial and uper wall of maxillary sinus, ethmoid sinus, and sphenoid sinus. The complete removal of the tumor by EE alone could not be achieved when the tumor was originated from the anterior, inferior, and posterolateral wall of maxillary sinus, requiring aplication of C-Ls aproach at the same time. EA can be used with more benefits than EE when the tumor is originated from the frontal sinus or when the mas tends to invade extensively.

#반전성 유두종·비부비동·내시경. #Inverted papiloma· Paranasal sinuses· Endoscopy.

참고문헌 (20)

참고문헌 신청

Biller H / 1983 / The role of conservativesurgery in the management of inverted papilloma 93 : 148 ~ 155

Conley J / 1984 / Deglovingapproach for total excision of inverted papilloma 94 : 1595 ~ 1598

Esclamado RM / 1995 / Squamous cell carcinoma arisingin inverted papilloma 105 : 178 ~ 183

Fernau JL / 1990 / Managementof inverted papilloma 100 : 481 ~ 490

Girgis SJ / 1993 / Endoscopic surgical treatment of nasaland paranasal sinus inverted papilloma 109 : 988 ~ 995

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