Abstract
Inverted papilloma is a locally aggressive sinonasal tumor that arises from the outlining Schneiderian respiratory membrane. The present study was carried out in the department of otorhinolaryngology of Nepalgunj medical college during March 2004 to 2008. 25 patients with inverted papilloma admitted in the department were included in the study A detailed history, ENT and detailed radiological evaluation by contrast CT scanning was done taking coronal and axial cuts of nose and PNS. Endoscopic examination and biopsy performed to confirm the diagnosis before going in for definitive surgical treatment. Depending upon the site, size and invasion the surgery planned included lateral rhinotomy, medial maxillectomy, endoscopic ethmoidectomy. Patients were followed up for average 2 years. Data regarding the clinical features, investigations and surgical approach were collected and compared to the existing studies. This study showed that inspite of geographical diversity and late presentation of the patient, recurrence rate was low.
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