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Endoscopic management of sinus neoplasia: case series of image-guided surgery of inverted papillomata and recommended best practice for managing cases.
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  • Gabi Klyvyte,
  • Jeremy Wong,
  • Shyam Gokani,
  • Louis Luke,
  • Lavandan Jegatheswaran,
  • Carl Philpott
Gabi Klyvyte
University of East Anglia Norwich Medical School

Corresponding Author:g.klyvyte@uea.ac.uk

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Jeremy Wong
James Paget University Hospitals NHS Foundation Trust
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Shyam Gokani
University of East Anglia Norwich Medical School
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Louis Luke
James Paget University Hospitals NHS Foundation Trust
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Lavandan Jegatheswaran
James Paget University Hospitals NHS Foundation Trust
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Carl Philpott
University of East Anglia Norwich Medical School
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Abstract

Key Points Inverted papillomata are benign sinonasal tumours with high recurrence rates. Inverted papillomata recurrence is increased if operated on by a non-fellowship trained rhinologist. Inverted papillomata recurrence can be detected earlier in cases managed by specialist rhinology services. Inverted papillomata should be managed through a clear treatment pathway for sinonasal tumours. Other risk factors associated with increased recurrence include Krouse stage 3 and involvement of the frontal or maxillary sinuses.