An unusual sinonasal inverted papilloma originating from superior turbinate and extending to epiglottis

Yıl 2017, Cilt: 27 Sayı: 1, 39 - 42, 05.03.2017

Doğan Atan Murat Kılıç Mehmet Ali Çetin Kürşat Murat Özcan Aykut İkincioğulları Hüseyin Dere

Öz

Sinonasal inverted papillomas are benign tumors of the nasal cavity and paranasal sinuses. The basic characteristics of these papillomas are their different localizations in the nasal cavity, local aggressive behavior and potential to transform into malignant tumors. The most common symptoms of those tumors are nasal obstruction, rhinorrhea, and epistaxis. Rare symptoms such as dysphagia and hoarseness may be seen in relation with the localization and the size of the tumor. In this article, we present an unusual case of a huge inverted papilloma originating from the superior turbinate, extending down to epiglottis, and causing dysphagia and dyspnea.

Anahtar Kelimeler

Epiglottis, inverted papilloma, paranasal sinus

Üst konkadan köken alan ve epiglota uzanan sıra dışı bir sinonazal inverted papillom

Öz

Sinonazal inverted papillomlar, burun ve paranazal sinüslerin benign tümörleridir. Bu papillomların temel özellikleri; nazal kavite içinde farklı lokalizasyonlarda bulunabilmeleri, lokal agresif seyir göstermeleri ve malign tümörlere dönüşme potansiyelleridir. Burun tıkanıklığı, burun akıntısı ve burun kanaması bu tümörlerin en yaygın semptomlarıdır. Tümörün yerleşim yerine ve büyüklüğüne bağlı olarak, yutma güçlüğü ve ses kısıklığı gibi nadir semptomlara da rastlanabilir. Bu yazıda üst konkadan köken alan, epiglota kadar uzanan ve yutma güçlüğü ve nefes darlığına yol açan sıra dışı dev bir sinonazal inverted papillom olgusu sunuldu

Anahtar Kelimeler

Epiglot, inverted papillom, paranazal sinüs

Kaynakça

• Kaufman MR, Brandwein MS, Lawson W. Sinonasal papillomas: clinicopathologic review of 40 patients with inverted and oncocytic schneiderian papillomas. Laryngoscope 2002;112:1372-7.
• Yoskovitch A, Frenkiel S, Franco E, Coutlée F, Nachtigal D, Rochon L. Analysis of human papillomavirus in schneiderian papillomas as compared to chronic sinusitis and normal nasal mucosa. J Otolaryngol 2001;30:167-72.
• Krouse JH. Development of a staging system for inverted papilloma. Laryngoscope 2000;110:965-8.
• Han JK, Smith TL, Loehrl T, Toohill RJ, Smith MM. An evolution in the management of sinonasal inverting papilloma. Laryngoscope 2001;111:1395-400.
• Lombardi D, Tomenzoli D, Buttà L, Bizzoni A, Farina D, Sberze F, et al. Limitations and complications of endoscopic surgery for treatment for sinonasal inverted papilloma: a reassessment after 212 cases. Head Neck 2011;33:1154-61.
• Hathiram BT, Grewal DS, Tankwal P, Sathe N, Manjrekar T, Ranavat J, et al. Inverted Papilloma - An Unusual Presentation (Foreign-Body like). Indian J Otolaryngol Head Neck Surg 1999;51:36-9.
• Kamath MP, Shenoy SV1, Prasad V, Bhojwani K, Pai R, Mathew NM. Inverted papilloma of atypical origin with unusual extension into the oropharynx. J Cancer Res Ther 2015;11:666.
• Schneyer MS, Milam BM, Payne SC. Sites of attachment of Schneiderian papilloma: a retrospective analysis. Int Forum Allergy Rhinol 2011;1:324-8.
• Keskin G, İla K, İşeri M Aydın Ö, Öztürk M. Management of sinonasal inverted papillomasand clinical outcomes. Turkiye Klinikleri J Med Sci 2013;33:958-64.
• Lawson W, Patel ZM. The evolution of management for inverted papilloma: an analysis of 200 cases. Otolaryngol Head Neck Surg 2009;140:330-5.