Krouse Staging for Inverted Papilloma

  • The Krouse Staging System is a clinical staging system used for inverted papilloma.1
    • T1: Tumour isolated to nasal cavity only.
    • T2: Tumour involves medial wall of maxillary sinus, ethmoid sinuses, or ostiomeatal complex.
    • T3 → Tumour involves any other part of the maxillary sinus aside from the medial wall (superior, inferior, anterior, posterior, lateral), or involving frontal or sphenoid sinus.
    • T4 → Tumour which extends beyond paranasal sinuses or if final pathology is malignant.
  • It was initially developed in 2000 to better compare outcomes between endoscopic and open surgical intervention.

Krouse Staging System for Inverted Papilloma

Stage Features
T1 Tumour isolated to the nasal cavity
T2 Tumour extending to the medial wall of the maxillary sinus, ethmoid sinuses, or OMC.
T3 Tumour extending to any other wall of the maxillary sinus (inferior, posterior, anterior, lateral), or the frontal or sphenoid sinuses.
T4 Tumour with extension beyond the paranasal sinuses or if final pathology is malignant.
  1. Krouse, John H. “Development of a staging system for inverted papilloma.” The Laryngoscope 110.6 (2000): 965-968. 

Last updated October 10, 2022