Sinus & Nasal Cavity Cancers.
Advanced surgical excision of malignancies in the paranasal sinuses and nasal passages. Focused on achieving complete clearance while preserving facial contours, eye function, and utilizing modern reconstructive techniques.
Objective, evidence-based staging and sinus tumor excision guidelines.
Sinus & Nasal Cavity Tumor Screening
Concerned about one-sided nasal blockage, nosebleeds, or cheek pain? Use our clinical screening checklist to analyze your risk profile based on clinical indicators.
Quick assessment based on nasal and sinus markers.
No personal data saved during check.
Risk metrics reflecting oncological guidelines.
Question Text
No immediate concern detected
Based on your answers, there are no immediate signs of sinus malignancy or acute pathology. Routine screening is advised.
Clinical Guidelines on Sinus and Nasal Cavity Surgery
Tumors of the sinuses and nasal cavity grow in a complex bony network close to the eyes, brain, and major blood vessels. Successful treatment requires thorough staging and advanced surgical access to fully clear the tumor while protecting vital structures.
1. Paranasal Sinuses and Tumor Locations
Most sinus cancers occur in the maxillary sinus (located under the cheek bone, above the teeth). They can also arise in the ethmoid, sphenoid, or frontal sinuses, or the nasal cavity itself. Staging is based on high-resolution contrast CT scans and MRI to determine if the tumor has extended into the eye socket (orbit) or upward toward the base of the skull.
2. Maxillectomy and Craniofacial Access
Depending on the tumor's size and location, Dr. Saha performs specialized resections: * Medial Maxillectomy: Removes the inner wall of the sinus facing the nose, preserving the cheek bone and palate. Often performed using endoscopic-assisted approaches through the nostril. * Total Maxillectomy: Required when the tumor involves the entire upper jaw bone. The bone is safely removed, and immediate reconstruction is planned to preserve facial structure and separate the mouth from the nose.
3. Facial Symmetry and Airway Preservation
Reconstruction is designed to maintain normal cheek contour and nose breathing. This is achieved using temporary or permanent dental obturators (specialized plates that seal the roof of the mouth) or microvascular free tissue grafts. Meticulous surgical planning ensures normal eyelid support and keeps the airway clear for comfortable breathing.
Sinus & Nasal Cavity Cancer Q&A
Scientific explanations covering sinus tumors, Weber-Fergusson incision, and facial structure preservation.
Early symptoms are often similar to a common cold or sinus infection, which can delay diagnosis. Key signs to watch for include persistent nasal blockage on one side only, recurrent nosebleeds, facial swelling (especially under the eye or on the cheek), pain, or numbness of the cheek and upper teeth.
With modern surgical planning, internal approaches, and immediate reconstructions, visible changes are minimized. For open surgeries, incisions (like the Weber-Fergusson incision) are placed along natural facial crease lines. Immediate support for the cheek and eye is built using specialized obturators or microvascular flaps to maintain facial symmetry.
If a portion of the palate (roof of the mouth) is removed, it creates a connection between the mouth and nasal cavity, affecting speech (nasal voice) and swallowing. This is immediately corrected using a custom dental obturator plate or a tissue graft to seal the gap. Breathing passages are kept clear, and speech/swallowing functions recover well postoperatively.