Surgical considerations in malignant neoplasia of nose and paranasal sinuses

  • A. Gairola
  • D. A. Tandon
  • S. Bahadur
Original/Main Article


Most recurrences of cancers of the nose and paranasal sinuses are attributed to inadequate local control of disease. Since such tumours are usually advanced a standard maxillectomy procedure is inadequate Nevertheless batter local control is obtainable by modifying palatal zygomatic or superior bone cuts (cranifacial resection) or including an appropriate part of the septum in the specimen. This paper describes 78 such cases undergoing surgicad ablation. Uses of CT and modifications of standard surgical techniques adapted for various tumour extensions are described.


Nasal Cavity Paranasal Sinus Maxillary Sinus Pterygopalatine Fossa Spindle Cell Carcinoma 
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  1. 1.
    Bahadur S, Kacker S, Prakash H (1984): Management of malignant tumours of the paranasal sinuses.Indian Jounal of Otolaryngology.36: 80–84.Google Scholar
  2. 2.
    Batsakis JG (1979): Cancer of the nasal cavity and the paranasal sinuses in tumours of the Head and Neck,2nd Edition Williams and Wilkins Co, Baltimore, pp. 177–187.Google Scholar
  3. 3.
    Becker SP, Berktold RE, Sisson GA (1987): controversy in the management of tumours of the nasal cavity and the paranasal sinus in Comprehensive Management of Mead and Neck Tumours. W.B. Saunders Company,Philadelphia, pp. 445–458.Google Scholar
  4. 4.
    Dodd GD, Collins LC, Egan RL, Herrera JR (1959): The systematic use of tomography in the diagnosis of carcinoma of the paranasal sinuses.Radiology 72: 379–393.PubMedGoogle Scholar
  5. 5.
    Jeans WD, Gilani S, Bultimor J (1982): The effects of CT scanning on staging of rumours of the paranasal sinuses.Clinical Radiology,33: 173–179.PubMedCrossRefGoogle Scholar
  6. 6.
    Ketcham A, Chretien PB, Van Buren JM, Hoye RC, Beazley RM, Herdt JR (1973): The ethmoid sinuses: A re-evaluation of surgical resection.American Journal of Surgery,126: 469–476.PubMedCrossRefGoogle Scholar
  7. 7.
    Kondo M, Horiuchi M, Shiga H (1982): Computed tomography of malignant tumours of the nasal cavity and paranasal sinuses,cancer 50: 226–231.PubMedCrossRefGoogle Scholar
  8. 8.
    Lanson LG, Matenson G (1954): Carcinoma of the paranasal sinuses and nasal cavitiesActa Radiologica,42: 149–153.CrossRefGoogle Scholar
  9. 9.
    Larrson LG, Martensson G (1972): Maxillary antral cancers.Journal of the American Medical Association,219: 342–345.CrossRefGoogle Scholar
  10. 10.
    Rice DH, Stanley RB: (1987): Surgical therapy of nasal cavity, ethmoid sinus and maxillary sinus tumour in comprehensive managment of head and neck tumour, W.B. Saunders company,Philadelphia, pp. 368–389.Google Scholar
  11. 11.
    Sisson GA, Bytell DE, Becker SP, Ruge D (1976): Carcinoma of the paranasal sinuses and craniofacial resection.Journal of Laryngology and otology,90: 59–68.PubMedGoogle Scholar
  12. 12.
    Som ML (1974): Surgical managment of carcinoma of the maxilla.Archives of Otolaryngology,99: 270–273.PubMedGoogle Scholar
  13. 13.
    Tabb HG (1959): Maxillectomy in carcinoma of the antrum.Laryngoscope 69: 119–130.PubMedCrossRefGoogle Scholar
  14. 14.
    Terz JJ, Young HF, Lawrence WJ (1980): Combined cranio-facial resection for locally advanced carcinoma of the head and neck: II Carcinoma of the paranasal sinuses.American Journal of Surgery,140: 618–624.PubMedCrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 1993

Authors and Affiliations

  • A. Gairola
    • 1
  • D. A. Tandon
    • 1
  • S. Bahadur
    • 1
  1. 1.Department of OtolaryngologyAll India Institute of Medical SciencesNew Delhi

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