Resection of inverted papilloma in nasal cavity with transseptal access and crossing multiple incisions minimizes bleeding and reveals the tumor pedicle

Sinonasal inverted papilloma can be resected endoscopically, but has a risk of recurrence. This risk can be minimized by identifying the pedicle of the tumor and ensuring complete resection. Intraoperative bleeding, particularly from the tumor, decreases endoscopic visualization and contributes to failure to identify the tumor pedicle, and piecemeal resection with dissection of the non-tumoral mucosa makes it impossible to distinguish the tumor pedicle. Previously reported transseptal access with crossing multiple incisions (TACMI) increases mobility of an inverted papilloma within the otherwise restricted nasal cavity.

Source: Auris, Nasus, Larynx - November 11, 2019 Category: ENT & OMF Authors: Kazuhiro Omura, Kazuhiro Nomura, Satoshi Aoki, Yu Hosokawa, Yasuhiro Tanaka, Nobuyoshi Otori, Hiromi Kojima Source Type: research