Cirugía en el papiloma invertido nasal

Abstract

Introduction: Inverted papilloma is a benign tumor that affects nasal cavity and Para nasal sinuses; histologically classified as oncecitas, inverted papillomas and fundiform or exophytic. Signs and symptoms include unilateral nasal obstruction, rhino rhea, headache, epitasis, and anosmia. The certainty diagnosis is given by pathology and in diagnosis are used imaging methods to determine the extent of the tumor. There is a certain percentage of association of this pathology with squamous carcinoma. The treatment is surgical. Aim: To evaluate the clinical and surgical characteristics of inverted papillomas that were operated in the Department of ENTin the Hospital School of Medical Sciences, UNA. Material and method: In this observational and descriptive work were studied cases of inverted papilloma operated at the Hospital from 1994 to 2008, by reviewing records of consecutive cases and analyzing the surgeries performed. Results: 30 cases in which the majority were Stage II and III of Krause, with an overall of 30%, relapse with a malignancy of 17%. Discussion: In this series of patients we observed tumors with low extension but with malignant transformation which elevated them to stage IVKrause. Conclusión: We suggest trying the most radical possible surgery provided with the fuII consent and knowledge of the patient.