Atypical Sinonasal Inverted Papilloma - A Case Report
R. Mahesh Kumar, S. Varsha, K. R. Ashok Kumar, B. Jambukeshwar Kumar, Supriyo PalAbstract
Rationale:
Sinonasal tumours are rare occurrences accounting for 3–4% of tumours (benign/malignant/co-existing) in the head-and-neck region, making it difficult to render an absolute diagnosis and treatment, thereof keeping in mind the tumour presentation and quality of life of the patient.
Patient Concerns:
The patient reported with complaints of swelling over the right side of the face associated with recent onset of pain in the same region.
Diagnosis:
Upon clinical, radiographic and histopathological examination, it was diagnosed as right Sinonasal inverted papilloma (SNIP).
Treatment:
The clinicians in the study approached the SNIP by opting for tumour resection with subtotal maxillectomy and reconstruction using a prosthetic obturator.
Outcomes:
Patient was operated and relived of the pathology and followed up for 18 months. She is now taken up for prosthetic rehabilitation.
Take-away Lessons:
The authors advocate the choice for open surgeries in cases where minimally invasive techniques do not meet the needs of desired results.