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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Frontal inverted papillomas: A 25‐year study
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Frontal inverted papillomas: A 25‐year study

机译：正面倒乳头瘤：25年的研究

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Objectives/Hypothesis This study analyzes the treatment outcomes of frontal inverted papillomas (FIPs) in an attempt to provide guidelines for surgery selection. Study Design Retrospective case series. Methods The treatment results of 29 FIPs classified into five categories were retrospectively analyzed. The five categories are F1, tumor prolapsed into frontal sinus, tumor origin outside frontal sinus; F2, tumor origin inside frontal sinus, medial to the plane of lamina papyracea; F3, tumor origin inside frontal sinus, lateral to the plane of lamina papyracea; F4, bilateral; and F5, extrasinonasal. Results Of the 11 F1 cases, 73% had Draf I and 27% had Draf IIA procedures. There was one (9%) frontal recurrence and one (9%) frontal stenosis. Of the 10 F2 cases, 10% had Draf I, 40% had Draf IIA, 40% had Draf IIB, and 10% had Draf III surgery with a trephination. One patient (10%) had a frontal recurrence. Of the five F3 cases, 40% had Draf IIA surgery, 20% had external frontoethmoidectomy, and 40% had external frontal sinusotomy. The recurrence rate was 60%, and frontal stenosis rate was 60%. The two F4 cases had external frontal sinusotomies and Draf III surgery with no frontal recurrence or stenosis. The patient with the F5 had a frontal recurrence after Draf IIA surgery and external frontoethmoidectomy. Conclusions Draf I or IIA surgery is adequate for most F1 tumors, and Draf II surgery is adequate for most F2 tumors. F3 and F4 tumors can be managed initially by Draf III surgery with external frontal sinusotomy added when required. F5 tumors probably require combined surgical approaches. Level of Evidence 4 Laryngoscope , 130:1622–1628, 2020
机译：目的/假设本研究分析了前倒乳头瘤（FIPS）的治疗结果试图为手术选择提供指导方针。研究设计回顾性案例系列。方法回顾性分析了29个FIPS分为五类的治疗结果。五类为F1，肿瘤呈普遍窦，肿瘤起源外部鼻窦; F2，肿瘤起源在额窦内，内侧到薄膜胶囊面积; F3，肿瘤起源在额窦内，侧向薄膜胶皮薄膜; F4，双边;和f5，extrasinonAlasal。结果11例F1案例，73％的人和27％的DRAF IIA程序。额相复发和一（9％）正面狭窄。在10例F2案例中，10％的人患有DRAF I，40％有DRAF IIA，40％的人有DRAF IIB，10％的人有一个带有左侧的DRAF III手术。一名患者（10％）具有正面复发。在五种F3患者中，40％具有DRAF IIA手术，20％的外甲型切除术，40％有外部正面鼻窦切除术。复发率为60％，前狭窄率为60％。两种F4病例有外部正面鼻窦和DRAF III手术，没有正面复发或狭窄。患有F5的患者在DRAF IIA手术和外部甲型切除术后具有正面复发。结论DRAF I或IIA手术适用于大多数F1肿瘤，DRAF II手术适用于大多数F2肿瘤。 F3和F4肿瘤可以最初由DRAF III手术进行管理，外部正面鼻廓切开术在需要时添加。 F5肿瘤可能需要组合的手术方法。证据水平4喉镜，130：1622-1628,2020

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