Efficacy and safety of coblation-assisted endoscopic surgery in the management of sinonasal inverted Papilloma: a retrospective study

Goran Latif Omer; Giulia Marzocchella; Rekawt Hama Rashid Kareem; Beatrice Francavilla; Riccardo Maurizi; Gianluca Velletrani; Othman Hussein Ahmed; Avar Fuad Ahmed; Sahand Soran Ali; Aland Salih Abdullah; Mohammed Ibrahim Mohialdeen Gubari; Stefano Di Girolamo

doi:10.23750/abm.95i4.15677

Authors

Goran Latif Omer Department of Clinical Science, College of Medicine University of Sulaimani
Giulia Marzocchella Department of Otorhinolaryngology, University of Rome Tor Vergata
Rekawt Hama Rashid Kareem Department of Otorhinolaryngology, Faruk Medical City, Sulaimani
Beatrice Francavilla Department of Otorhinolaryngology, University of Rome Tor Vergata
Riccardo Maurizi Department of Otorhinolaryngology, University of Rome Tor Vergata
Gianluca Velletrani Department of Otorhinolaryngology, University of Rome Tor Vergata
Othman Hussein Ahmed Department of Otorhinolaryngology, Shar Hospital, Sulaimani
Avar Fuad Ahmed Department of Otorhinolaryngology, Shar Hospital, Sulaimani
Sahand Soran Ali Department of Clinical Science, College of Medicine University of Sulaimani
Aland Salih Abdullah Department of Clinical Science, College of Medicine University of Sulaimani,
Mohammed Ibrahim Mohialdeen Gubari Department of Clinical Science, College of Medicine University of Sulaimani,
Stefano Di Girolamo Department of Otorhinolaryngology, University of Rome Tor Vergata

Keywords:

inverted papilloma, sinonasal tumor, endoscopic sinus surgery, endonasal endoscopic approach, recurrence, radiofrequency coblation, coblation-assisted sinus surgery

Abstract

Background and aim: Inverted papilloma (IP) is a benign but locally aggressive sinonasal epithelial tumor, characterized by a high recurrence rate and a risk of malignant evolution. Management of inverted papilloma depends on its size and extension: the endonasal endoscopic approach has become the most common because it allows effective removal of tumors with promising outcomes and lower morbidity. Despite the growing use of Radiofrequency Coblation (RFC) for some sinonasal surgical applications, the effectiveness of its use for endoscopic resection of intranasal and sinus tumors lacks consistency. The purpose of our study is to investigate the role of RFC in preventing recurrence in patients with inverted papilloma. Methods: We performed a monocentric, retrospective analysis of patients diagnosed with inverted papilloma of the nasal and paranasal sinus who underwent endoscopic sinus surgery. We subdivided the cohort into two groups: one consisted of patients who had undergone standard endoscopic sinus surgery, while the other one consisted of patients who had undergone coblation-assisted endoscopic sinus surgery. Results: Throughout a comprehensive 36-month follow-up period, 3 patients of Group A (17.6%) presented with IP recurrence, with 1 case identified at the 6-month mark and 2 cases at the 12-month interval. Conversely, Group B demonstrated a significantly reduced recurrence rate: in this group, no patient experienced IP recurrence at the same site during the follow-up period. Conclusions: Our findings provide valuable insights into the potential benefits of RFC, including a reduction in recurrence rates, when applied as an adjunctive tool in endoscopic treatment.

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