Sinonasal Inverted Papilloma: Approach to Surgery and Management

Inverted papillomas (IP) are benign but locally aggressive sinonasal tumors with a 5–15% risk of malignant transformation. Symptoms often mimic common inflammatory conditions, delaying diagnosis. This expert lecture will review epidemiology, risk factors, and advances in IP management, with emphasis on endoscopic surgical techniques, complex and diffuse disease patterns, managing second-opinion consultations and revision cases, and multidisciplinary care. Emerging insights into HPV, EBV, environmental exposures, and social determinants of health will be discussed, along with strategies to reduce recurrence and ensure appropriate long-term surveillance.