Quality of life after endonasal medial maxillectomy in patients with inverted papilloma of the maxillary sinus – resection of the inferior turbinate compared to readaption
18 April 2018 (online)
Primary goal in resection of inverted papilloma is complete and permanent removal with minimal tissue damage. In this study, we measure the quality of life and the benefit of an endoscopic medial maxillectomy for patients with resection or readaption of the inferior turbinate.
19 patients who underwent endonasal medial maxillectomy for inverted papilloma of the maxillary sinus between 2005 – 2016 were included in the study. None of the patients showed a recurrence. In 9 patients, the inferior turbinate was resected (group A), in 10 patients it was readapted (group B). All patients filled out the SF-36 for measuring the general quality of life and the Glasgow Benefit Inventory (GBI) for measuring the direct benefit of the operation.
On average, the examination took place 6,4 years after operation. In the SF-36, 15 patients stated their quality of life at least as good. There was no difference between group A and B.
The total score of the GBI was 10,8 on average (median 11,1), in group A 5,6 (median 8,3) and in group B 15,6 (15,3). Compared to group A, the score was 10 points higher in group B. The descriptive tendency to a different distribution was not significant.
Patients with readaption of the inferior turbinate tend to have higher postoperative quality of life. The sample is too small to get significant results.
Irrespective of the method, the operation had a slightly positive influence on the quality of life.
No conflict of interest has been declared by the author(s).