Zülküf Küçüktağ, Department of Otolaryngology Head and Neck Surgery, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Bülent Öcal, Department of Otolaryngology Head and Neck Surgery, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Cem Saka, Department of Otolaryngology Head and Neck Surgery, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Esma Altan, Department of Otolaryngology Head and Neck Surgery, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Mehmet H. Korkmaz, Department of Otolaryngology Head and Neck Surgery, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital; Department of Otolaryngology Head and Neck Surgery, Ankara Yıldırım Beyazıt University, Faculty of Medicine. Ankara, Turkey
Emel Çadallı-Tatar, Department of Otolaryngology Head and Neck Surgery, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
Objective: Sinonasal papillomas are rare benign tumors. They challenge otorhinolaryngologists due to their high recurrence rate and malignant transformation. The aim of this study was to investigate the clinical and demographic factors associated with recurrence and/or malignancy of sinonasal papillomas. Methods: This retrospective study included 49 patients who were operated on between 2014 and 2020. Clinical and demographic characteristics of the patients were retrieved from the patients’ records. Results: The recurrence rate was determined to be 12.2% and the malignancy rate was 8.2%. Recurrence was significantly higher in females, the advanced stage (T3 and T4), and papillomas located in the maxillary sinus. The recurrence rate was significantly lower in patients treated with the endoscopic surgery. Factors affecting malignancy were the presence of dysplasia and extension out of the paranasal sinuses. Conclusions: The results of this study showed that the factors affecting recurrence were gender, papilloma stage, type of surgery performed, and whether the tumor extended to the paranasal sinuses.
Keywords: Sinonasal papilloma. Inverted papilloma. Paranasal sinus.