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Nasal Cavity and Paranasal Sinus Carcinoma

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Abstract

Nasal cavity and sinus anatomy in close proximity to many vital structures. Lymph drainage: Nasal cavity → larger vessels pass posterior to the tonsillar region and directly to the upper deep cervical nodes. Most drain into pharyngeal plexus → retropharyngeal nodes. Anterior nose via nares connect with lymphatic vessels of the face. Maxillary → submandibular gland (SMG). Ethmoid cells have few lymph capillaries that pass via ostia to connect with nasal mucosa → SMG. Sphenoid—retropharyngeal nodes. Ohngren’s line (the malignant plane) runs from medial canthus to angle of the mandible—tumors located superoposterior to this plane have poorer prognosis. Thin bone of fovea ethmoidalis, cribriform, and lamina are not a strong anatomical barrier to adjacent spread and local invasion. Incidence less than 1 per 100,000 persons worldwide, 3–5 % of all upper aerodigestive tract tumors and 0.2 % of all cancers.

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Author information

Authors and Affiliations

  1. Department of Otolaryngology–Head and Neck Surgery, The Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA

    Alfred M. Iloreta M.D.

  2. Department of Otolaryngology–Head and Neck Surgery, The Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place, 1189, New York, NY, 10029, USA

    Brett A. Miles

Authors
  1. Alfred M. Iloreta M.D.
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  2. Brett A. Miles
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Editor information

Editors and Affiliations

  1. Department of Otolaryngology, Mount Sinai School of Medicine, New York, New York, USA

    Fred Lin

  2. Department of Otolaryngology/Head & Neck Endoscopic Sinus and Skull Base Surgery, Emory University, Atlanta, Georgia, USA

    Zara Patel

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Iloreta, A.M., Miles, B.A. (2014). Nasal Cavity and Paranasal Sinus Carcinoma. In: Lin, F., Patel, Z. (eds) ENT Board Prep. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8354-0_22

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  • DOI: https://doi.org/10.1007/978-1-4614-8354-0_22

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8353-3

  • Online ISBN: 978-1-4614-8354-0

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