Inverted papilloma: A review of 53 cases

Objective. To assess the surgical management of patients with inverted nasa l papilloma over a 14-year period. Study Design: Retrospective study. Setti ng: Tertiary health care center. Results. Fifty-three patients (38 males, 1 5 females) with an average age of 49.8 years were treated. Overall recurren ce rate was 28% and a malignant association of 9% was shown. Recurrence rat es varied from 27% in patients with more extensive disease involvement trea ted by lateral rhinotomy and medial maxillectomy, to 30% in patients with l ess extensive disease treated conservatively. Of the 5 patients with associ ated malignancy, 3 (6% of all patients) are likely to have undergone malign ant transformation. Conclusion: Aggressive initial management remains the t herapeutic aim in this condition.