6-Tumors of the nasal cavity and nasal sinuses
Nasal tumors are uncommon and it affects men more than women, elderly more than children.
Nasal tumors are much more in smokers.
Nasal tumors may be benign or malignant, benign are more common.
Patient complains from nasal obstruction on the side of the tumor, headache, thick mucus and proptosis of the eye in case of orbital involvement. And in cases of vascular tumors there is also epistaxis and this type is more common in males in the second decade. And in cases of malignant tumors in addition of the above; offensive nasal discharge is present.
Nasal tumors are diagnosed using the nasal endoscopy to detect the site and type of the tumor, in addition to the computed tomography to detect any extension to the orbit and the brain. In many cases nasal biopsy is taken to detect the type especially in malignant and fibrous tumors. The most common benign nasal tumors are the fibrous, bony and vascular types.
Benign nasal tumors are treated using the nasal endoscopy and the shaver and the drill, and all of this is done from the nostril without any facial or sublaial incisions.
And in cases of malignant tumors complete excision in early stages from the nostril as long as it is limited to the nasal cavity and the nasal sinuses and in case of spread under the skin or to the mouth open surgery is done through an incision in the face to remove the tumor totally and in many cases the need of radiotherapy and chemotherapy after the operation to ensure complete destruction of the tumor and that it won’t recur.