Inverted papilloma, role of endonasal endoscopic sinus surgery-experience at Mayo Hospital Lahore

Aim: Demonstrate the efficacy of an endonasal endoscopic approach in the treatment of inverted papilloma. Study design: Retrospective. Materials and methods: Retrospective analysis of 23 patients with inverted papilloma operated at the Mayo Hospital Lahore from 2000 to 2006. Results: There was male prevalence, 19 cases (82.6%), with tumor involving the left side in 14 (60.9%), and there was no bilateral involvement. Regarding Age 14 patients (60.9%) in age group of 45-60 years. Main symptoms were, nasal obstruction (95.7%), rhinorrhea (82.6%)and epistaxis (52.2%). There were no major complications with only 2 (8.6%) had postoperatively synechia in the nose. All patients were followed up for a minimum period of 12 months, the longest being 5 years. None of the patients had recurrence. Conclusion: Endoscopic resection appears to offer a safe treatment modality of inverted papilloma with insignificant morbidity and less recurrence.