We reported here a rare case of inverted papilloma of maxillary sinus presented initially with ipsilateral proptosis. A middle-aged lady with history of having allergic rhinitis presented with progressive left eye proptosis. [jadweb.org]

Case report We present the case of a 57 year-old male, who presented with a chronic unilateral nasal obstruction. He complained of epistaxis and headaches. The clinical examination revealed a right nasal tumor. [latunisiemedicale.com]

The presentation can be similar to other sinonasal masses, with nasal obstruction, sinus pain, and epistaxis. [radiopaedia.org]

Rarely will patients present with diplopia or visual impairement. In some cases, IP may be detected incidentally during dacryocystorhinostomy for nasolacrimal duct obstruction, or a papilloma may present from the punctum. [eyewiki.aao.org]

A 93 year old Caucasian male with history of IP presented to our institution for evaluation of a sinonasal mass with intracranial extension. The patient was first diagnosed with inverted papilloma eight years prior to presentation. [oatext.com]

• Severe Pain

  According to a standardized protocol, the following postoperative symptoms were assessed on a scale of 0–3 (0 = not present, 1 = low, 2 = moderate, 3 = severe): Pain in the upper jaw, nasal stuffiness, increased nasal secretion, or crusting. [mdpi.com]

• Flushing

  If this was reported, a standard dye test (Jones test) (0 ≤ 2 min. transport time, 1 = delayed transport = 2–5 min., 2 = no transport) and passive testing by flushing the lacrimal drainage system with isotonic saline (possible, with increased pressure [mdpi.com]

• Dry Eyes

  There was no evidence of left eye lagophthalmos, exposure keratopathy or dry eye. The rest of the anterior segment and posterior segment details of both eyes were unremarkable. [jadweb.org]

• Lagophthalmos

  There was no evidence of left eye lagophthalmos, exposure keratopathy or dry eye. The rest of the anterior segment and posterior segment details of both eyes were unremarkable. [jadweb.org]

• Paresthesia

  All patients should be informed preoperatively because, overall, paresthesia of the infraorbital nerve is the most common complaint. Four patients showed a volume reduction of the maxillary sinus. [mdpi.com]

Unilateral versus bilateral sinonasal disease: Considerations in differential diagnosis and workup. Laryngoscope 2019. [ Google Scholar ] [ CrossRef ] [ PubMed ] Lawson, W.; Kaufman, M.R.; Biller, H.F. [mdpi.com]

• Sinus Opacification

  Odontogenic sinusitis is a common cause of unilateral sinus disease with maxillary sinus opacification. Int. Forum Allergy Rhinol. 2019. [ Google Scholar ] [ CrossRef ] Eckhoff, A.; Cox, D.; Luk, L.; Maidman, S.; Wise, S.K.; DelGaudio, J.M. [mdpi.com]

Fig. 2 Situation of the maxilla 14 days after the end of treatment. [jmedicalcasereports.biomedcentral.com]

CONCLUSION: The use of the endoscope in this type of surgical treatment is an important success factor in the treatment of inverted papilloma. Keywords: endoscopic sinus surgery, inverted papilloma, recurrence. [scielo.br]

The treatment of choice is surgical resection leaving disease-free margins. When there is temporal bone involvement, tympanomastoidectomy is an excellent choice for initial treatment 6. [bjorl.org.br]

Inverted Papilloma Treatment Surgery Surgery is the primary treatment for inverted papillomas. Because of the high recurrence rate (40 to 80 percent), early, aggressive surgery to remove the papilloma usually is recommended. [upmc.com]

CCP can be associated with other malignant tumors as well. [1] Treatment [ edit ] Medial maxillectomy is the treatment of choice. [en.wikipedia.org]

In summary, IP is a rare tumour and relevant knowledge regarding factors affecting recurrence, malignant transformation and prognosis is still limited. [openarchive.ki.se]

The immunohistochemical panel presented in this report was adequate to verify the occurtence of cell protiferation and transformation in the affected tissue, as well as to study the prognosis for the case. REFERENCES 1. [scielo.br]

Prognosis and Predictive Factors The prognosis for inverted papilloma is quite good, with a recurrence rate of less than 5%, and the likelihood of synchronous or subsequent development of urothelial carcinoma 6% and 3%, respectively. [emedicine.medscape.com]

Signal characteristics T1: isointense to muscle T2 generally hyperintense to muscle alternating hypointense lines 6 T1 C+ (Gd) heterogeneous enhancement 2 alternating hypointense lines 6 Treatment and prognosis Due to the high association with malignancy [radiopaedia.org]

For these reasons, several studies have been made to evaluate the efficacy of the different courses of treatment, but only afew studies have been carried out to establish the etiology of this tumour, which is still uncertain. [ncbi.nlm.nih.gov]

The exact etiology is unknown, but human papillomavirus infection, smoking, and chronic sinusitis are predisposing factors for the development of nasal papillomas. There are three types of nasal papillomas. [amboss.com]

Human papillomavirus is not an etiologic agent of urothelial inverted papillomas. Am J Surg Pathol. 2013 Aug. 37(8):1223-8. [Medline]. van Oers JM, Lurkin I, van Exsel AJ, et al. [emedicine.medscape.com]

The etiology is still unclear but certainly can be called upon several factors such as allergy, tobacco smoke, the papilloma virus. Are affected by this disease especially adults between 50 and 70 years with a predominance of males than females. [gruppootologico.com]

Some etiologies have been proposed, including allergic rhinitis, chronic inflammation, and smoking. There is a possible association with the human papilloma virus (HPV) 1. [bjorl.org.br]

This proportion is much lower than that established for SNC in several epidemiological studies. [ncbi.nlm.nih.gov]

Definition Epidemiology References: [1] [2] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]

Sinonasal papillomas: a report of 82 cases in Copenhagen County, including a longitudinal epidemiological and clinical study. Laryngoscope. 1995 ;105(1): 72 - 79. Google Scholar | Crossref | Medline | ISI 36. Hyams, VJ. [journals.sagepub.com]

The aim was also to present epidemiological data on IP on a population basis and to describe how incidence and survival have changed for SNMs in the Swedish population. [openarchive.ki.se]

Epidemiology IP has a median age of onset of 34.5 years with a slight female predisposition (M:F 1:1.2). It has a predilection for the lateral nasal wall followed by the maxillary sinus, and ethmoid sinus. [eyewiki.aao.org]

Pathophysiology IP is not a primary lacrimal drainage system tumor but a primary tumor of the tissue surrounding the lacrimal drainage system and spreads to the lacrimal sac via secondary extension. [eyewiki.aao.org]

Once the stalk is removed, the surgeon treats the underlying bone to prevent the tumor from growing back. [mountsinai.org]

Prevention, Early Detection, and Interception, Marta Menéndez, Sira Potes-Ares, Blanca Vivanco, Laura Suárez-Fernández, Cristina Riobello, Rocío García-Marín, Fernando López, José Luís Llorente and Mario Hermsen DOI: 10.1158/1538-7445.AM2019-3325 Published [cancerres.aacrjournals.org]

Endoscopic approaches such as EEA have good success rates in preventing recurrence and better cosmetic outcomes than traditional open surgical approaches. [upmc.com]

Woman of childbearing potential are premenopausal women with intact reproductive organs and women less than two years after menopause; Lab values that in the opinion of the primary surgeon would prevent surgical resection; Life expectancy < 12 weeks; [clinicaltrials.gov]

Transplantation Substance Use and Addiction Surgery Surgical Innovation Surgical Pearls Teachable Moment Technology and Finance The Rational Clinical Examination Tobacco and e-Cigarettes Toxicology Trauma and Injury Treatment Adherence United States Preventive [jamanetwork.com]