Introduction: The inverted papilloma is a benign epithelial neoplasia corresponding from 0,5 to 4% of all nasal tumors. It has a malignant potential that vary from 5 to 13% and the recurrence is frequent. Aim: The aim of this study is to evaluate the experience and surgical treatment with inverted papilloma at Hospital do Servidor Público Estadual de São Paulo in the last four years. Study design: Retrospective clinical. Material and methods: We analyzed eight patients which were operated between august of 1996 and july of 2000 with diagnostic of inverted papilloma observing age, sex, pre operative symptoms, localization, recurrence, malignant transformation and surgery performed. Results: Analyzing eight patients, five (62,5%) were male, and three (37,5%), female. The most important symptom was nasal obstruction. The localization was the lateral nasal wall in 62.5%. Three sinusectomies (Midfacial Degloving), three endoscopic surgeries, and two Caldwell-Luc procedures were performed. The follow up was from one to 47 months. Conclusion: The inverted papilloma had a benign but invasive behavior. The peak of incidence was about 5th and 6th decades. The great majority, five (62,5%) were male. The surgery was large according to location and infiltration of the lesion. Although we didn’t observe malignant transformation or recurrence, the patient has to be seemed for several years after surgery to be sure of clinical cure.
inverted papilloma; sinusectomy; benign nasal tumors
