The authors describe their experience with external Septo-Rhinoplasty. This study includes details of twentytwo cases of inverted papilloma. It is an uncommon nasal disease. It is treated more radically than other benign conditions of the nasal cavity. The recurrence is frequent and malignant changes are also not uncommon.
Histopathological study is important and required opinion from an experienced pathologist.
Rare extension into ear is also observed though the exact mechanism of spread is not understood. Long follow-up is essential in dealing with recurrences. Inverted Papilloma is a benign neoplasm originating from the schneiderian membrane of nose and paranasal sinus vacities. It has varied clinical and histological involving lateral nasal wall, septum, ethmoids, maxillary and sphenoid sinuses and at times involves skull base. Interesting three cases are reported because of varied presentation of inverted papilomma.