Extended sublabial vestibulotomy (ESV)‎ approach for inverted papilloma

Abstract EN

Background: The reported incidence of inverted papilloma of the sinonasal areas is 0.5– 4% of all primary nasal tumours.

Aggressive surgical approaches and endoscopic sinus techniques have been used as the main line of management.

Study design: To evaluate 30 cases of inverted papilloma as regarding their clinical and radiological findings, as well as the use of the extended sublabial vestibulotomy (ESV) approach in their management.

Results: The age average was 56.13 years with male prevalence.

The lateral nasal wall and nasal cavity were involved in all the cases.

The individual sinuses were involved to a variable extent.

All patients treated by extended sublabial vestibulotomy with endoscopic assistance whenever indicated with no significant complications or recurrence.

Conclusion: ESV approach is ideally for extensive benign lesions in the sinonasal areas; as well, it enables the access to the nasopharynx.

It can be considered as a feasible approach.