Surgical Management of Inverted Papilloma by Modified Medial Maxillectomy Using Hemi-Midfacial Degloving Approach

Syed Muhammad Ali Tirmizey; Hafiz Sajjad Hyder; Syeda Jamila Ali Tirmizey

doi:10.29054/apmc/2019.1051

Syed Muhammad Ali Tirmizey Professor of ENT Faisalabad Medical University, Faisalabad
Hafiz Sajjad Hyder Senior Registrar, ENT Allied Hospital, Faisalabad
Syeda Jamila Ali Tirmizey Post Graduate Trainee, ENT Allied Hospital, Faisalabad

DOI: https://doi.org/10.29054/apmc/2019.1051

Keywords: Inverted papilloma, Inverted papilloma, Prospective study, Prospective study, Morbidity, Morbidity, Recurrence, Recurrence

Abstract

Background & Objective: The aim of the study was to manage the cases of inverted papilloma using a more conservative approach to determine the morbidity and recurrence. Study Design: A prospective study. Settings: ENT Unit I Allied Hospital Faisalabad-Pakistan. Duration: One-year July 2017 to July 2018. Methodology: Modified medial maxillectomy via hemi midfacial degloving approach was done to surgically excise the inverted papilloma. Results: No major post-op complication was seen. Patient had markedly reduced morbidity. Recurrence was not observed in follow-up for 6 months to 1 year. The morbidity was minimal as regards the cosmetic appearance and functional preservation Conclusions: The modified approach used in our department is good as regards functional preservation and cosmetic appearance. The approach is relatively easy and does not require sophisticated instruments. Recurrence rate is minimal but long term follow up will better determine the recurrence rate. The approach is worth applicable for further investigation and long term follow up.