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.
Sinonasal Risk & Suitability Assessment
Evaluate your symptoms and check if clinical consultation or emergency attention is recommended based on established parameters.
Quick assessment based on clinical risk factors.
No personal data saved during check.
Direct referral recommendation based on answers.
Question Text
No immediate concern detected
Based on your answers, there are no immediate signs of 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.
Frequently Asked Questions
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