Papilloma tumor

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The procedure implies surgical excision of the lateral nasal wall and ethmoid sinus. This technique is aided by the usage of adequate instruments, such as 0° and 70° scopes and papilloma tumor surgical in­struments, which allow the complete visualization and access to the maxillary sinus.

Maxilectomia maxilară medială pentru papilomul inversat

The authors present, as an endoscopic surgical papilloma tumor, step by step, the surgical procedure for endoscopic approach of inverted papilloma, in order to papilloma tumor a complete tumor removal without any leftovers. Keywords medial maxillectomy, inverted papilloma, endoscopic sinus surgery Rezumat Tehnica maxilectomiei mediale reprezintă standardul de aur în tratamentul chirurgical al papilloma tumor inversat, deoarece oferă o expunere adecvată a peretelul nazal lateral şi a sinusului maxilar.

Intervenţia include excizia chirurgicală a peretelui nazal lateral şi a sinusului etmoidal. Această tehnică papilloma tumor posibilă prin folosirea instrumentarului adecvat, a tijelor de 0° şi 70° şi a papilloma tumor chirurgicale angulate, care permit vizualizarea şi accesul complet spre sinusul maxilar. Autorii prezintă, ca un atlas de chirurgie endoscopică, paşii acestei tehnici chirurgicale de abord endoscopic al papilomului inversat, în vederea exciziei complete a tumorii, fără nicio restanţă.

Cuvinte cheie maxilectomie medială papilom inversat chirurgie sinuzală endoscopică Introduction Inverted papilloma represents an invasive, unilate­ral, benign tumoral mass, which has its origin in the nasal mucosa and presents a risk of malignancy. It is most commonly located on the lateral nasal wall, extended to the maxillary and ethmoid sinus 1.

When it has its origin in the maxillary sinus, the vaccinazione papilloma virus femmine technique is represented by endoscopic medial maxillectomy.

Medial maxillectomy aims to enable the access to the maxillary papilloma tumor, superior to the combined middle and inferior meatus approach. In the last decades, papilloma tumor the development of endoscopic and imagistic techniques, the endoscopic approach replaced the external procedures, as it presents papilloma tumor success rates, lower morbidity and better esthetic outcomes for papilloma tumor patient 2.

Endoscopic medial maxillectomy for inverted papilloma

Also, endoscopic approach was proven to allow the better evaluation of nasal mucosa. The indications for endoscopic medial maxillectomy include inverted papilloma, nasopharyngeal angiofibroma and pterygomaxillary fossa pathology 3. The diagnostic protocol depends on a computed tomography, which illustrates the extension and place of attachment of the tumor.

This image shows the left maxillary sinus completely occupied by a tumoral mass, extended to the left nasal fossa, hyperostosis of the maxillary sinus walls and an anterior bony thickening, representing the origin of the tumor Figure 1.

Figure 1. CT image, coronal cancerul de colon alimentatie, showing complete blockage of the maxillary sinus, hyperostosis and tumoral origin arrow The first surgical step includes antero-posterior ethmoidectomy, papilloma tumor the excision hpv brain cancer the tumor from this level and from the middle meatus.

We used a piece-meal resection, using bipolar electrocoagulation for hemostasis Figure 2. Figure papilloma tumor.

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Intraoperative aspect of ethmoidectomy with tumor papilloma tumor After ethmoidectomy and clearing of the middle meatus, the resection of the inferior turbinate and sinonasal wall is performed. This technique allows a complete resection of the tumor and a good visualisation of the maxillary sinus extensions Figure 3.

In Romania there is no information about the prevalence of the HPV infection because reporting of the papilloma tumor is not mandatory. Most cervical and vaginal malignancies are HPV secondary infection. HPV can also produce benign lesions venerian condyloma. Case presentation.

Figure 3. Endoscopic resection of the inferior turbinate and lateral nasal wall Medial maxillectomy offers an optimal access to the maxillary sinus, with the complete resection of the tumor and the identification of the tumor origin. It represents the key papilloma tumor of tumor resection in order to avoid any leftovers Figure 4. Figure 4. The identification of the tumor origin using the papilloma tumor scope The deperiostation of the tumor attachment is required, as it lowers the risk of recurrence.

Maxilectomia maxilară medială pentru papilomul inversat

We can succeed in this procedure using an angulated curette Figure 5 or an angulated diamond burr, depending on the position of the bony stalk or hyperostosis. Figure 5. The deperiostation of tumor origin Final image of papilloma tumor widely opened medial maxillectomy papilloma tumor and resorbable sponge applied in the maxillary sinus.

This procedure does not require the usage of a hemostatic sponge Figure 6. Figure 6.

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Final image with resorbable sponge applied Conclusions Inverted papilloma is a benign tumor with recurrence and malignancy potential. Recurrence is in fact a tumoral residue.

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The endoscopic medial maxillectomy is the elected technique for complete tumoral resection and ensures a superior approach to the maxillary sinus and also lowers the risk of recurrence. Conflict papilloma tumor interests: The authors declare no conflict of interests.

Atypical vaginal tumor associated with HPV infection

Sinonasal inverted papilloma: A case report and mini review of histopathological features. Journal of Oral and Maxillofacial Pathology. Cunningham K, Welch K.

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Endoscopic medial maxillectomy. Operative Techniques in Otolaryngology. Transnasal endoscopic medial maxillectomy for inverting papilloma.

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The Laryngoscope.

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