A STUDY OF MANAGEMENT OF SINONASAL TUMOURS

Abstract

K. Nagaraj, Sreenivas Kosoori, T. Shankar, J. Divya

BACKGROUND Sino Nasal Tumours present more unresolved problems for both surgeons and radio therapist. The objectives of the study were to evaluate the epidemiology and aetiology of Sino Nasal Tumours. MATERIALS AND METHODS 34 Cases of Sino Nasal Tumours admitted and treated at Government ENT Hospital, Hyderabad between 2015 July till October 2017. Having confirmed the diagnosis and preoperative preparation, the patients were operated or sent for Radio Therapy. The findings at operation were recorded and tissues sent for pathological examination for confirmation of diagnosis. RESULTS Institute’s ethical committee approval was taken prior to this study. A total of 34 Patients with Sino Nasal Tumours was studied of which benign tumours were 25 (septal haemangioma, fibrous, dysplasia, inverted papilloma and Nasopharyngeal angiofibromas), malignant were 9 (Squamous cell carcinoma, adenocarcinoma of ethnical sinus, adenoid cysts, carcinomas of maxillary sinus, non-Hodgkin’s lymphoma of maxillary sinuses). Men are affected more than women. Treatment- curative therapy was offered for most of the patients- surgery and radiotherapy. Followed up regularly at 1 month, 3 months, 6 months, 9 months & 1 year. CONCLUSION Sinonasal tumours present to ENT Surgeon in late stage. CT Scan of PNS and DNE Examinations are valuable in diagnosis, staging and plan of treatment.

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