CASE-inverted papilloma

0 C.C > unilateral nasal obstruction ( D: 1year ago) P.Hx > repeated nasal op at local clinic 3 years ago 1 year ago R.O.S> Nasal obstruction (+) Recurrent epistaxis,Lt (+) PND (+) Epiphora (+) P.Ex > Lt. Nasal cavity : 1.5 * 1cm sized irregular surface mass Neck : N-C OMU CT Bx F / 53

OMU CT

Biopsy

 Medial maxillectomy

PROBLEM
OMU CT ? Inverted papilloma . ? Inverted papilloma Origin? OP Hidden site? Inverted papillom ? RT ?

ANSWER
OMU CT ? 1. Antrochoanal polyp 2. Unilateral sinusitis c polyp 3. Malignancy

4.Fungal infection 5.Dentiginous sinusitis 6.Foreign body

Inverted papilloma . ? Medial maxillectomy Inverted papilloma Origin? 1. Lateral wall of the nasal space 2. Septum 3.Sinus OP Hidden site? 1. Nasofrontal duct 2. Supraorbital wall

3. maXillary sinus infraorbital recess 4. Lacrimal fossa

Inverted papillom ? 1. (70-75%) 2. 3. malignant change 4. Carcninoma . RT ? 1. Inverted papilloma 4. Cystic hygroma 2. Juvenile angiofibroma 5. Cutaneous hemangioma 3. Fibrous dysplasia 6. Ossifing fibroma