Management of inverted papilloma via Denker's approach

Denker's approach was used in the management of 78 patients presenting with an inverted papilloma of the nasal sinus complex between the years 1986 an d 1993 at the University Teaching Hospital in Rotterdam. The recurrence rat e was 9% with a mean follow-up after surgery of 56 months. There was minima l morbidity and no mortality associated with the procedure. Three patients had a squamous cell carcinoma associated with the inverted papilloma. The r esults of our study indicate that Denker's approach has a similar or lower recurrence rate than an open external approach to papilloma and is a safe p rocedure with minimal morbidity.