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Respiratory Epithelial Adenomatoid Hamartoma is Frequent in Olfactory Cleft After Nasalization.
Nguyen, Duc Trung; Jankowski, Roger; Bey, Ayoub; Gauchotte, Guillaume; Casse, Jean Matthieu; Gondim Teixeira, Pedro Augusto; Gallet, Patrice; Rumeau, Cécile.
Afiliación
  • Nguyen DT; Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Nancy, Nancy, France.
  • Jankowski R; Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Nancy, Nancy, France.
  • Bey A; Faculty of Medicine, University of Lorraine, France.
  • Gauchotte G; Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Nancy, Nancy, France.
  • Casse JM; Department of Pathology, University Hospital of Nancy, Nancy, France.
  • Gondim Teixeira PA; Department of Pathology, University Hospital of Nancy, Nancy, France.
  • Gallet P; Guilloz Imaging Department, University Hospital of Nancy, Nancy, France.
  • Rumeau C; Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Nancy, Nancy, France.
Laryngoscope ; 130(9): 2098-2104, 2020 09.
Article en En | MEDLINE | ID: mdl-31487047
OBJECTIVES: To assess the site and histopathology of polyps at the first revision surgery for recurrent nasal polyposis (NP) after radical ethmoidectomy (nasalization). STUDY DESIGN: Retrospective study. METHODS: 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. RESULTS: 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. CONCLUSION: 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. LEVEL OF EVIDENCE: 4 Laryngoscope, 130:2098-2104, 2020.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bulbo Olfatorio / Complicaciones Posoperatorias / Neoplasias Nasales / Tumor Adenomatoide / Procedimientos Quírurgicos Nasales / Hamartoma Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bulbo Olfatorio / Complicaciones Posoperatorias / Neoplasias Nasales / Tumor Adenomatoide / Procedimientos Quírurgicos Nasales / Hamartoma Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Laryngoscope Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Estados Unidos