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Inverted PapillomaResectionInitially via transnasal resection:50-80% recurrenceMedial Maxillectomy via lateral rhinotomy:Gold Standard10-20% recurrenceEndoscopic medial maxillectomy:Key concepts:Identify the origin of the papillomaBony removal of this regionRecurrent lesions:Via medial maxillectomy vs. Endoscopic resection22%
Inverted Papilloma Resection Initially via transnasal resection: 50-80% recurrence Medial Maxillectomy via lateral rhinotomy: Gold Standard 10-20% recurrence Endoscopic medial maxillectomy: Key concepts: Identify the origin of the papilloma Bony removal of this region Recurrent lesions: Via medial maxillectomy vs. Endoscopic resection 22%
Benign neoplasms3.Plemorphicadenoma.Rare tumour, usually arises from the nasalseptum. Treatment is wide surgicalexcision
Benign neoplasms 3. Plemorphic adenoma. Rare tumour, usually arises from the nasal septum. Treatment is wide surgical excision
Benign neoplasms4.Schwannoma and meningioma.They are uncommon tumours which arefound intranasally. Treatment is surgicalexcision by lateral rhinotomy
Benign neoplasms 4.Schwannoma and meningioma. They are uncommon tumours which are found intranasally. Treatment is surgical excision by lateral rhinotomy
Benign neoplasms5.Haemangioma.It may be:(a). Capillary haemangioma. It is soft ,dark red,pedunculated or sessible tumours arising fromanterior part of nasal septum. Usually it issmooth but may become ulcerated and presentwith recurrence epistaxis and nasal obstruction.Treatment islocal excision with acuffofsurrounds mucpoerichondrium
Benign neoplasms 5. Haemangioma. It may be: (a). Capillary haemangioma. It is soft ,dark red, pedunculated or sessible tumours arising from anterior part of nasal septum. Usually it is smooth but may become ulcerated and present with recurrence epistaxis and nasal obstruction. Treatment is local excision with a cuff of surrounds mucpoerichondrium