BACKGROUND: The aim of this study was to evaluate the efficacy and safety of endoscopically resecting @entity5578 at a tertiary medical center. METHODS: Over a 9-year period, 51 @entity1 with a diagnosis of @entity1179 underwent endoscopic resection at the University of Miami/Jackson Memorial Medical Center. The study group consisted of 14 @entity1 and 37 @entity1 with a mean age of 59 years (range, 20-88 years) enrolled in a clinical data base. All of the @entity1 were followed endoscopically at regular intervals on an outpatient basis. RESULTS: Endoscopic evidence of extensive @entity1185 involving the anterior and posterior ethmoid sinuses and at least one (usually the maxillary) dependent @entity50 was found in 60% of the cases. Extensive radiological disease (varying degrees of mucoperiosteal thickening or opacification of all five cavities) was evident in 50% of the cases. All but two had unilateral disease. An association with chronic @entity1127 (clinically and pathologically) was observed in 25 of 51 @entity1 (49%). Follow-up ranged from 6 to 99 months (mean, 30 months). There have been seven recurrences (14%). Four of these have been managed in the office under topical anesthesia. Three recurrences were managed surgically in the operating room. All of the @entity1 have been free of disease. Complications included an intraoperative CSF leak (three @entity1 ); temporary infraorbital hypesthesia (three @entity1 ); periorbital ecchymosis, @entity1410 , or cheek @entity4 (four @entity1 ); and orbital symptoms (two @entity1 ). @entity189 was found in four @entity1 (8%) who received postoperative radiotherapy and remain free of disease. CONCLUSION: The endoscopic approach continues to provide at least equivalent short-term results as compared with external techniques for the @entity5578 . The final cavity should allow for adequate postoperative surveillance and potential resection of recurrences in the office setting, without the need for a return to the operating room in most @entity1 . The association of @entity1179 with chronic @entity1127 and @entity286 use warrants additional study.

Endoscopic resection of XXXX : University of Miami experience.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'men'] @entity286 :: ('4097', 'Species') :: ['tobacco'] @entity1127 :: ('MESH:D011127', 'Disease') :: ['inflammatory polyps'] @entity1179 :: ('MESH:D018308', 'Disease') :: ['inverted papilloma'] @entity1185 :: ('MESH:D010212', 'Disease') :: ['papillomas'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity189 :: ('MESH:D002277', 'Disease') :: ['Carcinoma'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity5578 :: ('MESH:D010254', 'Disease') :: ['removal of paranasal sinus inverted papilloma', 'paranasal sinus inverted papillomas'] @entity50 :: ('MESH:D012851', 'Disease') :: ['sinus']
@entity1179 :: (MESH:D018308,Disease) :: ['inverted papilloma']
