Respiratory Epithelial Adenomatoid Hamartoma is Frequent in Olfactory Cleft After Nasalization.
Adenomatoid Tumor
/ etiology
Adult
Aged
Ethmoid Sinus
/ surgery
Female
Hamartoma
/ etiology
Humans
Male
Middle Aged
Nasal Polyps
/ complications
Nasal Surgical Procedures
/ adverse effects
Nose Neoplasms
/ etiology
Olfactory Bulb
/ pathology
Postoperative Complications
/ etiology
Postoperative Period
Recurrence
Reoperation
/ methods
Retrospective Studies
Treatment Outcome
Young Adult
Recurrent nasal polyposis
ethmoid
nasalization
olfactory cleft
respiratory epithelium adenomatoid hamartoma
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
08
04
2019
revised:
14
08
2019
accepted:
28
08
2019
pubmed:
6
9
2019
medline:
15
12
2020
entrez:
6
9
2019
Statut:
ppublish
Résumé
To assess the site and histopathology of polyps at the first revision surgery for recurrent nasal polyposis (NP) after radical ethmoidectomy (nasalization). Retrospective study. Between January 2008 and December 2015, a total of 62 patients having undergone revision surgery for recurrent NP after nasalization were included. The site and histology of the recurrence of polyps were analyzed according to operative and pathological reports. Histology showed classical inflammatory nasal polyps (CINP) in 91% of nasal cavities at primary surgery versus respiratory epithelial adenomatoid hamartoma (REAH) or REAH associated to CINP in 54.8% at revision surgery (P < .0001). Polyps were principally observed in the ethmoidal complex in 70% of nasal cavities during primary surgery and in the olfactory clefts in 88.7% during revision surgery (P < .0001). The mean interval between nasalization and first revision surgery was 8.8 ± 4.4 years (0.4-21.7 years). This interval was significantly shorter for grade 3 polyps, polyps removed from both ethmoidal complex and olfactory cleft at primary surgery, association of CINP and REAH at primary surgery, and when primary surgery had preserved the middle turbinates. Polyp recurrences after nasalization were mainly observed in the olfactory clefts and can be different histological features: inflammatory polyps, respiratory epithelial adenomatoid hamartoma, or a combination of both. 4 Laryngoscope, 130:2098-2104, 2020.
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2098-2104Informations de copyright
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
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