Paranasal Sinus Malignancies � A 6 Year Tertiary  Hospital Experience

Dr Dipak Ranjan Nayak; Dr Ajay M Bhandarkar; Dr Amrutha Gudiseva; Dr Suresh Pillai; Dr Navin A Patil

Volume : IV, Issue : II, February - 2014

Paranasal Sinus Malignancies � A 6 Year Tertiary Hospital Experience

Dr Dipak Ranjan Nayak, Dr Ajay M Bhandarkar, Dr Amrutha Gudiseva, Dr Suresh Pillai, Dr Navin A Patil

Abstract :

AIMS AND OBJECTIVES: To illustrate our experience in the demographics, tumour characteristics and management of paranasal sinus malignancies during an 6-year time period.

MATERIALS AND METHODS: This is a retrospective, observational study where clinical data of 41 patients diagnosed and treated for paranasal sinus malignancies were analysed.

RESULTS: The male:female ratio was 1.6:1 and the median age of presentation was 48 years. The most common presenting symptom was epistaxis (46.4%). The median time gap between the onset of symptoms and presentation was 3 months. The maxillary sinus was the most commonly affected site (68%) and the most common malignancy was squamous cell carcinoma(39%). 90% of the patients underwent surgery as part of a multimodality curative treatment plan or alone as curative treatment.

CONCLUSION: Advanced T stage, regional and distant metastasis of paranasal sinus malignancies are highly predictive of poor survival. Hence early diagnosis and treatment is of immense value in decreasing the morbidity and mortality due to these tumors.