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.