Inverted papilloma

  • Middle meatal mass 
  • Causes unilateral nasal obstruction
  • Usually an ostiomeatal pattern
  • M:F = 4:1
  • 10% show calcification at site of attachment
  • CT: Lobulated outline. Sufficient for diagnosis
  • MRI: Cerebriform pattern. MRI preferred to assess recurrence
  • Subperiosteal resection necessary to avoid recurrence