Jerzy Tomik

Publications of Jerzy Tomik

• [Quality of life in patients treated for cancer of paranasal sinus and other area at head and neck].

  Authors: Paweł Strek, Krzysztof Oleś, Jacek Składzień, Jerzy Tomik, Sebastian Gajec, Sebastian Kocoń, Magdalena Dutsch-Wicherek, Patryk Hartwich, Joanna Szaleniec

  Przegla̧d lekarski. 01/2010; 67(12):1298-301.

  The oncology efficiency and quality of life are both important for patients with head and neck cancer in every-day life. Evaluation of the dysphagia discomfort was made of 240 patients (190 male andThe oncology efficiency and quality of life are both important for patients with head and neck cancer in every-day life. Evaluation of the dysphagia discomfort was made of 240 patients (190 male and 50 female). The primary location of the tumor was: paranasal sinuses, oral cavity, oropharynx, hypopharynx and larynx. The treatment was surgical or sugical and radiotherapy. Patient's quality of life was evaluated according to the self-administered questionnaire (M.D. Anderson Dysphagia Inventory MDADI). The comparison of the influence of dysphagia on the quality of life was made in two groups of patients. The first group consist of maxillectomy patients wearing obturator protheses, the second one were treated for cancer located in other mentioned area. Patients with primary tumors of the oral cavity, oropharynx, hypopharynx and larynx had significantly greater swallowing disability with an adverse impact on their quality of life compared with patients after maxillectomy. Method of treatment and stage of head and neck cancer greatly affected dysphagia-related quality of life. The longer the interval between completion of treatment and assessment by the MDADI, the higher the total score, thus reflecting a higher quality of life and funcional status as related to swallowing. The MDADI is the validated and reliable self-administered questionnaire designed specifically for evaluating the impact of dysphagia on the quality of life of patients with head and neck cancer.

• [Analysis of oropharyngeal phase of swallowing in patients with amyotrophic lateral sclerosis].

  Authors: Jerzy Tomik, Barbara Tomik, Jacek Składzień, Sebastian Gajec, Paweł Strek, Krzysztof Oleś, Jolanta Gawlik, Maciej Wiatr

  Przegla̧d lekarski. 01/2009; 66(11):905-8.

  Dysphagia is a common symptom of amyotrophic lateral sclerosis (ALS) and leads to increased risk of aspiration, malnutrition and dehydration. Swallowing mechanism in ALS patients has not beenDysphagia is a common symptom of amyotrophic lateral sclerosis (ALS) and leads to increased risk of aspiration, malnutrition and dehydration. Swallowing mechanism in ALS patients has not been systematically studied. Based on the manometry analysis of upper investigate tract we have measured base of tongue contraction, resting pressure of the upper esophageal sphincter and average pharyngeal bolus velocity 10 ALS patients with slight dysphagia and have compared them to control group. All parameters measured were significantly changed in ALS patients indicting disturbances of oro-pharyngeal phase of swallowing even in ALS patients with slight dysphagia. Early diagnosis of the swallowing disturbances is important for symptomatic therapy.

• [Applicability of artificial neural networks in postoperative hearing improvement prognosis in patients with chronic otitis media].

  Authors: Joanna Szaleniec, Maciej Wiatr, Maciej Szaleniec, Jacek Składzien, Jerzy Tomik, Paweł Strek, Ryszard Tadeusiewicz, Robert Przeklasa

  Przegla̧d lekarski. 01/2009; 66(11):924-9.

  The primary objective of surgical treatment of chronic otitis media is to remove the pathological changes and restore the biology of the middle ear. Subsequently, ossicular chain reconstruction isThe primary objective of surgical treatment of chronic otitis media is to remove the pathological changes and restore the biology of the middle ear. Subsequently, ossicular chain reconstruction is performed in order to restore hearing. The aim of the study was to evaluate the efficacy of mathematical models (artificial neural networks) in postoperative hearing improvement prognosis. The models based on preoperative anamnesis and data concerning the operative procedure. The analyzed group comprised of 135 patients operated for chronic otitis media in the Department of Otolaryngology CM UJ in Krakow. The measure of postoperative hearing improvement was cochlear reserve (air-bone gap) closure depending on the type of ossicular chain reconstruction. The artificial neural networks provided 100% correct predictions basing on preoperative clinical examination, pathological changes found in the middle ear and description of the surgical procedure. The study proves that artificial neural networks are effective in functional result prognosis in tympanoplastic surgery.

• [Defects of facial nerve canal according to a character and localisation of lesions in middle ear].

  Authors: Karolina Hydzik-Sobocińska, Maciej Wiatr, Zbigniew Baran, Jacek Składzień, Jerzy Tomik, Agnieszka Morawska, Robert Przeklasa

  Przegla̧d lekarski. 01/2009; 66(11):930-2.

  The aim of this study is the assessment the occurence of facial nerve canal (Fallopian canal) dehiscence in patients operated due to chronic medial otitis (depending on the location and type ofThe aim of this study is the assessment the occurence of facial nerve canal (Fallopian canal) dehiscence in patients operated due to chronic medial otitis (depending on the location and type of inflammatory lesions) and in patients operated due to otosclerosis. Facial nerve paresis in patients with dehiscence found during surgery was also assessed. The study group consisted of 456 patients operated at the Department of Otolaryngology at the University Hospital in Krakow, 359 due to chronic otitis media and 97 due to otosclerosis. Facial nerve canal dehiscence was found during surgery in 26 patients (6% of operated patients) more frequently in men. In most cases (54%) dehiscence was observed in patients with chronic medial otitis with cholesteatoma (27% with choleseatoma and 27% with cholestatoma and granulation), and equally (23% each) dehiscences were observed in patients with granulation and even in patients with otosclerosis and chronic simple otitis media. In over than half (54%) of patients with dehiscence inflammatory lesions involved all the middle ear spaces, in 15% the tympanic cavity, attic and antrum while in 4% of patients inflammatory lesions were limited to the tympanic cavity, attic or antrum. The facial canal nerve dehiscence is observed in majority in patients with cholestatoma and granulation, especially in tympanic region. In some cases its coexistence with circuit canals dehiscence.

• [Necessity of chorda tympani cutting from data collected at Department of Otolaryngology at the Collegium Medicum of the Jagiellonian University].

  Authors: Maciej Wiatr, Jacek Składzień, Jerzy Tomik, Robert Przeklasa, Krzysztof Oleś, Jolanta Gawlik

  Przegla̧d lekarski. 01/2009; 66(11):933-6.

  Chorda tympani nerve is a branch of the facial nerve which enables perception of taste of 2/3 anterior part of tongue and it is responsible for unilateral parasymphatetic nerve supplying of theChorda tympani nerve is a branch of the facial nerve which enables perception of taste of 2/3 anterior part of tongue and it is responsible for unilateral parasymphatetic nerve supplying of the submandibular and sublinqual salivary glands. Prospective analysis of patients operated on middle ear in ENT Department Jagiellonian University of Krakow between 2004-2008 was performed. Nearly 650 operations were done in that period of time. Chorda tympani nerve was cut in 96 individuals. Most of them were treated for chronic otitis media. When chorda tympani nerve was cut--the majority of cases did not complain of dysgeusia. Disturbance of taste was observed in ca. 2% of patients but it was transitory. The subject experienced sour/metallic taste. Taste disturbance following unilateral injury to the chorda tympani nerve was usually the most intense in the first few weeks and improves with time.

• [Vertigo and labyrinthine fistules at the patients operated on chronic otitis media].

  Authors: Maciej Wiatr, Jacek Składzień, Jerzy Tomik, Agnieszka Morawska, Krzysztof Oleś, Karolina Hydzik-Sobocińska

  Przegla̧d lekarski. 01/2009; 66(11):948-51.

  Otitis media is a frequent condition. Chronic infections of the middle ear can lead to defects of bony walls and development of complications. We performed prospective analysis of patients operatedOtitis media is a frequent condition. Chronic infections of the middle ear can lead to defects of bony walls and development of complications. We performed prospective analysis of patients operated on chronic otitis media in ENT Department Jagiellonian University of Krakow between 2004-2008. Nearly 650 operations on ears were performed in that period of time. Labyrinthine fistule was observed in 40 patients: 36 with COM, 3 with otosclerosis and 1 after head trauma. Vertigo was mentioned in ca. 30% of individuals in preoperative history. Labyrinthine fistule was usually noticed in the course of chronic cholesteatoma otitis media and chronic granulomatous otitis media and almost always it was located on lateral semicircular canal. In these patients defects of facial nerve bony canal were more frequent but the frequency of skull base defects was like in patients without labyrinthine fistule. The fistules were sealed routinely with a fragment of fascia. This procedure proved effective.

• [Meningeal empyema--still actual topic].

  Authors: Krzysztof Oles, Jacek Składzień, Paweł Strek, Maciej Wiatr, Jerzy Tomik, Henryk Podziorny

  Przegla̧d lekarski. 01/2009; 66(11):996-9.

  Pus collection between dura matterand arachnoidis not an abscess but an empyema. Complains of severe headache, a lack of cooperation is observed, sometimes high fever, seizures, which may lead to anPus collection between dura matterand arachnoidis not an abscess but an empyema. Complains of severe headache, a lack of cooperation is observed, sometimes high fever, seizures, which may lead to an epileptic like condition. Patient gives an impression of a severely ill person. We report four different cases of intracranial complications, in the form of dural empyema diagnosed and treated in our Department. In the pre antibiotic therapy era, cerebrospinal meningeal empyema inevitably led to paralysis, paresis and death.

• [Cysts of the orbital bone and orbital sinus: clinical and morphological characteristics of the three cases].

  Authors: Jolanta Gawlik, Jacek Składzień, Jerzy Stachura, Romana Tomaszewska, Joanna Szpor, Krzysztof Oleś, Jerzy Tomik

  Przegla̧d lekarski. 01/2009; 66(11):1000-2.

  Solitary bone cyst is rarely situated in facial bones. We discuss clinical view, results of radiological examinations and differential histopathological diagnostics of cases. We present 3 cases ofSolitary bone cyst is rarely situated in facial bones. We discuss clinical view, results of radiological examinations and differential histopathological diagnostics of cases. We present 3 cases of patients: 51 year old man with cyst in frontal sinus; 29 year old man and 46 year old woman--both with changes in bones of the orbit. In all the cases results of histopathological examinations were similar. Cystic-shape pieces of vascularizated connective tissue were observed. Multiple cracks filled with cholesterol, macrophages with hemosiderin and occasionally multinuclear cells were noticed. Solitary bone cyst may be located in the periorbital bone, especially frontal. Excellent laryngological, optic and cosmetic results are results of the surgery. Suspicious of the solitary bone cyst is possible due to MR or CT imaging, but final diagnosis must be confirm by histological examination.

• [Chronic otitis media as an introduction to intracranial otogenic complications].

  Authors: Maciej Wiatr, Jacek Składzień, Jerzy Tomik

  Otolaryngologia polska. The Polish otolaryngology. 01/2008; 62(1):49-53.

  Otogenic intracranial complications are rare. Misdiagnosed and untreated can be dangerous for health and life. They should be always kept in mind. AiM: We discuss patients in whom defects of skullOtogenic intracranial complications are rare. Misdiagnosed and untreated can be dangerous for health and life. They should be always kept in mind. AiM: We discuss patients in whom defects of skull base were observed during operation. These defects can lead to serious intracranial complications. We analyse patients with chronic otitis media operated in our department between 2004-2006. 250 operations on ears were performed in that period of time. We discuss patients with intracranial otogenic complications and patients in whom defects of skull base were noticed by chance during operations. Defects of skull base were observed in 24 cases. Intracranial complications were in 3 patients. 1 patiens died because of abscess of cerebellum, others were treated with good distant effect. Used methods of reconstruction were effective, we observed no discharge of cerebro-spinal fluid and no other intracranial complications. It exists group of patients with chronic otitis media that have asymptomastic defects of cranial fossa. These defects can be responsible for intracranial complications. MRI and TC are very important in preoperative diagnostics.

• [Otogenic intracranial complications from data collected at Department of Otolaryngology Collegium Medicum Jagiellonian University between 1998-2006]

  Authors: Maciej Wiatr, Jacek Składzień, Jerzy Tomik

  Przegla̧d lekarski. 02/2006; 63(11):1173-6.

  BACKGROUND: Otogenic intracranial complications are rare diseases. If misdiagnosed and untreated they can lead to serious condition of patient and life-threatening. This group of complications oughtBACKGROUND: Otogenic intracranial complications are rare diseases. If misdiagnosed and untreated they can lead to serious condition of patient and life-threatening. This group of complications ought to be kept in mind in patients with chronic otitis media. AIM OF THE STUDY: We discuss types of otogenic complications and performed treatment. MATERIAL AND METHODS: Retrospective analysis of patients treated in our department between 1998-2006 was made. About 700 ear operations were performed in that period of time. RESULTS: Intracranial otogenic complications were noticed in 9 cases. Despite performed treatment one patient with cerebellum abscess died. The rest patients were operated with good result. CONCLUSIONS: Precise otolaryngological examination with additional investigations like CT and MRI are very important to establish the final diagnosis and save patient's health or life.

• [Patients with chronic otitis media at the age below 16-year-old from data collected at Department of Otolaryngology Collegium Medicum Jagiellonian University between 2004-2006]

  Authors: Maciej Wiatr, Jacek Składzień, Jerzy Tomik

  Przegla̧d lekarski. 02/2006; 63(11):1177-80.

  BACKGROUND: Otitis media is a frequent disease in childhood. Infections of ear in children depend on differences in anatomical structure. Clinical picture of otitis media is similar in all ageBACKGROUND: Otitis media is a frequent disease in childhood. Infections of ear in children depend on differences in anatomical structure. Clinical picture of otitis media is similar in all age groups. THE AIM OF STUDY: We performed prospective analysis of patients at the age below 16-year-old treated surgically because of chronic otitis media between 2004-2006. MATERIAL AND METHODS: 250 operations of ear were performed in that period of time. We operated 28 patients below 16 year-old: 26 with chronic otitis media and 2 with otosclerosis. RESULTS: The therapy gave positive results. In 3 cases destruction of bone of skull base was noticed. Delaminations were closed during ear operation successfully. CONCLUSIONS: In children with chronic otitis media we use the same surgical procedures as in adults. We tend to make closed tympanoplasties in children. We should keep in mind possibility of asymptomatic lack of skull base bone as a consequence of chronic otitis media.

• [Laryngological presentation of patients with amyotrophic lateral sclerosis (ALS)]

  Authors: Jerzy Tomik, Barbara Tomik, Maciej Wiatr, Jacek Składzień

  Przegla̧d lekarski. 02/2006; 63(11):1198-200.

  BACKGROUND: Not many data concerning the laryngological evaluation of Amyotrophic Lateral Sclerosis (ALS) patients exist. THE AIM OF STUDY: The profile of laryngological disturbances in patients withBACKGROUND: Not many data concerning the laryngological evaluation of Amyotrophic Lateral Sclerosis (ALS) patients exist. THE AIM OF STUDY: The profile of laryngological disturbances in patients with ALS was evaluated. MATERIAL AND METHODS: We have studied 25 ALS patients (10 with bulbar signs and 15 with limb signs only) in the standard laryngological examination. Vocal folds motion was examined fiberoscopically. RESULTS: In bulbar onset ALS cases we have showed different changes of the uni- or bilateral position of the vocal folds. In 9 out of 15 ALS patients with limb signs (without clinical bulbar signs) we also have discovered the slight disturbance of vocal folds movement or unilateral decrease of tension and mobility. CONCLUSIONS: The careful laryngological examination can shows the subtle, objective signs of the early dysfunction of vagus nerves in ALS patients before the clinical presentation of bulbar failure.

• [Analysis of disturbances of oesophageal phase of swallowing in patients with amyotrophic lateral sclerosis (ALS)]

  Authors: Jerzy Tomik, Barbara Tomik, Krzysztof Lorens, Maciej Wiatr, Jacek Składzień

  Przegla̧d lekarski. 02/2006; 63(11):1201-4.

  BACKGROUND: The occurrence of the disturbances of oropharyngeal phases of swallowing in Amyotrophic Lateral Sclerosis (ALS) patients has been well documented. THE AIM OF STUDY: Assessment of theBACKGROUND: The occurrence of the disturbances of oropharyngeal phases of swallowing in Amyotrophic Lateral Sclerosis (ALS) patients has been well documented. THE AIM OF STUDY: Assessment of the oesophageal manometry for detection of the oesophageal phase of swallowing in ALS patients. MATERIAL AND METHODS: The study was carried out in 12 dysphagic ALS patients and 10 sex- and age- matched healthy volunteers. RESULTS: The mean upper oesophageal contractile: amplitude, duration and velocity during the wet and dry swallows in ALS individuals were statistically differ as compared to control subjects. The abnormalities of vocal folds function was also found in the fiberoscopy examination of larynx in all ALS patients. CONCLUSIONS: This study reveal the occurrence of disturbances of the oesophageal phase of swallowing in ALS patients with dysphagia.

• [Primary benign orbital tumors in experience of the Department of Otolaryngology Jagiellonian University]

  Authors: Jacek Składzień, Jerzy Tomik, Maciej Wiatr

  Przegla̧d lekarski. 02/2006; 63(11):1210-2.

  BACKGROUND: The important question in primary eye socket tumors surgery is total surgery and saving the patient's sight. The aim of the study: It was assessment of the data of primary non malignantBACKGROUND: The important question in primary eye socket tumors surgery is total surgery and saving the patient's sight. The aim of the study: It was assessment of the data of primary non malignant tumor therapy in Cracovian Department of Otolaryngology. MATERIAL AND METHODS: 145 patients (79 male and 66 female), aged 7 months-84 years, were treated in Otolaryngological Department Jagiellonian University in years 1991-2001. In 118 cases primary benign orbital tumors were removed, in remaining patients tumors were malignant. In 89 patients lateral orbitotomy by Kronlein was performed and in other cases different types of orbitotomy were used. 5 years otolaryngological and ophtalmological catamnnesis wascomplete. RESULTS: In all patients eyeball was preserved, even in 6 with optic nerve glioma. Reccurent tumors were observed in 2 cases, diplopia in 15 patients and sight's lost in 8 (in 6 with optic nerve glioma). CONCLUSIONS: In the majority of patients with radical oncological surgery it is possible to preserve eyesight.

• [The laryngological and neurological aspects of dysphagia]

  Authors: Jerzy Tomik, Barbara Tomik

  Przegla̧d lekarski. 02/2006; 63(2):77-80.

  Swallowing is a complex motor event that is difficult to investigate in man. A slowed ability to eat a meal, loss of salivary control with drooling, episodic coughing, and choking and nasalSwallowing is a complex motor event that is difficult to investigate in man. A slowed ability to eat a meal, loss of salivary control with drooling, episodic coughing, and choking and nasal regurgitation occurred due to the dysphagia. Swallowing disorders can be divided into oropharyngeal dysphagia and oesophageal dysphagia. The most common cause of oropharyngeal dysphagia is cerebrovascular accidents; other causes may include oropharyngeal structural lesions, systematic and local muscular diseases, and diverse neurologic disorders. Oesophageal dysphagia may result from neuromuscular disorders, mobility abnormalities, and intrinsic or extrinsic obstructive lesions. Initial evaluation of patients with suspected oropharyngeal dysphagia includes patient history, laryngological and neurological examination, and careful videofluoroscopic study of pharyngeal dynamics. Initial evaluation of patients with suspected oesophageal dysphagia includes patient history and barium swallow with oesophagography. Classifying dysphagia as oropharyngeal, oesophageal and obstructive, or neuromuscular symptom complexes leads to a successful diagnosis in 80% of patients.

• [Analysis of patients under 45 years of age with cancer of the larynx].

  Authors: Jerzy Tomik, Jacek Składzień, Maciej Modrzejewski, Marcin Konior

  Otolaryngologia polska. The Polish otolaryngology. 01/2005; 59(5):665-9.

  In last years we observe more frequently squamous cell carcinoma in patients below 45 years of age. Especially we examined patients with cancer of the larynx. Estimation of surgical treatment ofIn last years we observe more frequently squamous cell carcinoma in patients below 45 years of age. Especially we examined patients with cancer of the larynx. Estimation of surgical treatment of patients with cancer of the larynx under 45 years age after prior analysis of the following factors: localization of laryngeal carcinoma, local and regional advancement, the incidence of "occult metastases", the presence of metastases in the pre-laryngeal node, the regions of the neck affected by metastases. An analysis of a group of 140 patients who underwent surgery for laryngeal carcinoma in the period 1950-1998 was carried out. In all of the cases partial or total laryngectomy with unilateral or bilateral neck dissection was performed. In patients under 45 years of age, metastases to the lymph nodes were more frequently observed. The incidence of "occult metastases" and metastases to the pre-laryngeal node were more frequently. The cancer of the larynx in "young adults" is more aggressive and worse prognosis than in older patients population.

• [Our experiences in microvascular reconstruction with free forearm skin flap]

  Authors: Maciej Modrzejewski, Jacek Składzień, Paweł Strek, Jerzy Tomik

  Otolaryngologia polska. The Polish otolaryngology. 02/2002; 56(5):533-6.

  Free forearm skin-fascia flap was used at 14 patients for head and neck reconstruction. Tissue defect was located in mesopharynx at 6 patients, in piriformis recessus at 2, in buccal mucosa at 1, inFree forearm skin-fascia flap was used at 14 patients for head and neck reconstruction. Tissue defect was located in mesopharynx at 6 patients, in piriformis recessus at 2, in buccal mucosa at 1, in hypopharynx 4 and very large defect embracing mesopharynx, hard and soft palate at one patient. To present moment lives 11 ill in this one from recurrent diseases. Most important element of microvascular junction is correctly executed venous junction. Patients after microvascular flaps showed less percentage of early complications (fistulas, shorter time of staging in Clinic). Connection of partial operation of the larynx with microvascular reconstruction of throat creates chance on good oncological on functional result. Free forearm skin-fascia flap provides good anatomical and functional result after various reconstructions of head and neck region.

• [The importance of laryngological and phoniatric evaluation at the early stage of amyotrophic lateral sclerosis]

  Authors: Jerzy Tomik, Barbara Tomik

  Neurologia i neurochirurgia polska. 38(5):423-6.

  The bulbar symptoms of amyotrophic lateral sclerosis (ALS) include difficulty with the management of swallowing, saliva production, aspiration of secretion to the air ways and problems with spokenThe bulbar symptoms of amyotrophic lateral sclerosis (ALS) include difficulty with the management of swallowing, saliva production, aspiration of secretion to the air ways and problems with spoken communication. These symptoms originate from the malfunction of the face muscles and pharynx sphincters. Patients with early symptoms of bulbar ALS are often referred to the otolaryngologist for the evaluation and management of dysphagia and dysarthria. The bulbar onset of ALS with hypernasality, articulation defects and voice harshness make the otolaryngologists the primary diagnostician for these signs. Careful examination of the speech quality and morphology as well as the function of vocal cords should be undertaken. Once the diagnosis of ALS is made, the otolaryngologist's involvement in medical treatment is necessary at different stages of the disease.

• [Prognostic factors in patients operated on eardrum perforation with intact ossicular chain].

  Authors: Maciej Wiatr, Krzysztof Oleś, Jerzy Tomik, Jacek Składzień, Agnieszka Morawska, Paweł Stręk, Robert Przeklasa, Karolina Hydzik-Sobocińska, Joanna Szaleniec, Aleksandra Boroń, Aneta Pałasz, Patryk Hartwich

  Otolaryngologia polska. The Polish otolaryngology. 65(4):266-71.

  Ear drum perforation is a typical feature in chronic otitis media. It can have posttraumatic etiology or it is observed in acute otitis media too. This paper is intended to evaluate effectiveness ofEar drum perforation is a typical feature in chronic otitis media. It can have posttraumatic etiology or it is observed in acute otitis media too. This paper is intended to evaluate effectiveness of tympanic membrane reconstruction and indicate factors which have an influence on hearing improvement after myringoplasty. Analysis involves ca. 500 individuals operated on ear in Department of Otolaryngology at the Jagiellonian University between 2004 and 2009. 120 individuals were operated on for the first time due to chronic otitis media with intact ossicular chain. Statistically significant heating improvement was observed in patients with discharge, without discharge and in group with scars. The presence of granulation changes is an unfavorable prognostic condition in the patients with ear drum perforation. In clinical practice, the criterion which often determines the application of either of the materials in myringoplasty are operator's preferences, as well as the availability of given material for transplanting.

• [Isolated inverted papilloma of the sphenoid sinus - case report].

  Authors: Krzysztof Oleś, Maciej Wiatr, Paweł Stręk, Jacek Składzień, Jerzy Tomik, Henryk Podziorny, Aleksandra Boroń, Joanna Szaleniec

  Otolaryngologia polska. The Polish otolaryngology. 65(4):293-6.

  Primary inverted papilloma of the sphenoid sinus is rare. The tumor is considered locally aggressive. In selected cases inverted papilloma can be associated with squamous cell carcinoma. RadiologicPrimary inverted papilloma of the sphenoid sinus is rare. The tumor is considered locally aggressive. In selected cases inverted papilloma can be associated with squamous cell carcinoma. Radiologic imaging is a key to an accurate diagnosis. We analyzed patient with inverted papilloma in sphenoid sinus which was removed with endoscopic surgery. We discuss patient with isolated inverted papilloma located in the sphenoid sinus. Performed endoscopic treatment enabled removal of tumour with no complications. Transnasal endoscopic large sphenoidotomy remains an effective modality for management of patients with inverted papilloma. This method does not require external approach and it is performed with no scars, with minimal injury of tissues.