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• W2757958591 abstract "<h3>Importance</h3> The risk factors for the recurrence of sinonasal inverted papilloma are still unclear. <h3>Objective</h3> To investigate the potential association between the Krouse classification and the recurrence rates of sinonasal inverted papilloma. <h3>Data Sources</h3> The EMBASE and MEDLINE databases were searched for the period January 1, 1964, through September 30, 2016, using the following search strategy: (paranasal sinuses [Medical Subject Headings (MeSH) terms] OR sinonasal [all fields]) AND (inverted papilloma [MeSH terms] OR (inverted [all fields] AND papilloma [all fields]). <h3>Study Selection</h3> The inclusion criteria were (1) studies including sinonasal inverted papilloma only and no other forms of papillomas, such as oncocytic papilloma; (2) minimum follow-up of 1 year after the surgery; and (3) clear report of cases (recurrence) and controls according to the Krouse classification system or deducible from the full-text article. Literature search was performed by 2 reviewers. Of the 625 articles retrieved in the literature, 97 full-text articles were reviewed. Observational cohort studies or randomized controlled trials were included, and the following variables were extracted from full-text articles: authors of the study, publication year, follow-up data, and number of cases (recurrence) and controls (no recurrence) in each of the 4 stages of the Krouse classification system. <h3>Data Extraction and Synthesis</h3> The Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines were followed. Odds ratios (ORs) and 95% CIs were estimated, and data of included studies were pooled using a random-effects model. <h3>Main Outcomes and Measures</h3> The main outcome was recurrence after surgical removal of sinonasal inverted papilloma according to each stage of the Krouse classification system. <h3>Results</h3> Thirteen studies comprising 1787 patients were analyzed. A significant increased risk of recurrence (51%) was highlighted for Krouse stage T3 disease when compared with stage T2 (pooled OR, 1.51; 95% CI, 1.09-2.09). No significant difference in risk of recurrence was found between Krouse stages T1 and T2 disease (pooled OR, 1.14; 95% CI, 0.63-2.04) or between stages T3 and T4 (pooled OR, 1.27; 95% CI, 0.72-2.26). <h3>Conclusions and Relevance</h3> Inverted papillomas classified as stage T3 according to the Krouse classification system presented a 51% higher likelihood of recurrence. Head and neck surgeons must be aware of this higher likelihood of recurrence when planning and performing surgery for sinonasal inverted papilloma." @default.
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• W2757958591 date "2017-11-01" @default.
• W2757958591 modified "2023-10-14" @default.
• W2757958591 title "Association of Krouse Classification for Sinonasal Inverted Papilloma With Recurrence" @default.
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• W2757958591 doi "https://doi.org/10.1001/jamaoto.2017.1686" @default.
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