Extended sublabial vestibulotomy (ESV) approach for inverted papilloma

BackgroundThe reported incidence of inverted papilloma of the sinonasal areas is 0.5–4% of all primary nasal tumours. Aggressive surgical approaches and endoscopic sinus techniques have been used as the main line of management.Study designTo evaluate 30 cases of inverted papilloma as regarding their clinical and radiological findings, as well as the use of the extended sublabial vestibulotomy (ESV) approach in their management.ResultsThe age average was 56.13 years with male prevalence. The lateral nasal wall and nasal cavity were involved in all the cases. The individual sinuses were involved to a variable extent. All patients treated by extended sublabial vestibulotomy with endoscopic assistance whenever indicated with no significant complications or recurrence.ConclusionESV approach is ideally for extensive benign lesions in the sinonasal areas; as well, it enables the access to the nasopharynx. It can be considered as a feasible approach.