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Tumors of the Nose and Sinuses
Built from Behrbohm — Ear, Nose and Throat Diseases with Head and Neck Surgery
What’s inside
6 sections · 57 slides
Overview
- What this topic teaches you
Benign Nose & Sinus Tumors
Growths that stay local — but some still need surgery
- Benign tumors: an uncommon but varied group
- Osteoma: a slow, well-defined bony growth
- Osteoma: why it can cause trouble, and how it is found
- Osteoma: treatment
- Large frontal sinus osteoma (open approach)
- Metaplastic osteogenesis: misplaced bone
- Ossifying fibroma: a localised fibro-osseous lesion
- Inverted papilloma: bland look, real danger
- Inverted papilloma: recognising and treating it
- Inverted papilloma filling the nasal cavity
Skin Cancers of the External Nose
The most sun-exposed feature of the face
- The three skin cancers of the external nose
- Basal cell carcinoma: what it is and what drives it
- Basal cell carcinoma of the nose
- Basal cell carcinoma: how it looks and behaves
- Basal cell carcinoma: the three main clinical types
- Basal cell carcinoma: subtypes and diagnosis
- Basal cell carcinoma: treatment and the Mohs technique
- Squamous cell carcinoma of the external nose
- Malignant melanoma: the most dangerous skin cancer
- Melanoma: the warning signs in a mole
- Melanoma: the four clinical forms
- Superficially spreading melanoma
- Melanoma: diagnosis and the sentinel node
- Melanoma: treatment and what governs outcome
- Melanoma five-year survival by stage
- Clark levels of melanoma invasion depth
Malignant Nasal & Sinus Tumors
Cancer hidden deep inside — silent until late
- What kinds arise, and how common they are
- Relative histological frequency of sinonasal malignancy
- Danger: these tumors stay silent
- Signs the tumor has invaded neighbours
- Location predicts prognosis: Sebileau and Ohngren
- Typical directions of spread of nose and sinus tumors
- Diagnosis: building the full picture before treating
- Understanding the TNM staging system
- TNM: T stages — maxillary sinus
- TNM: T stages — nasal cavity and ethmoid sinus
- TNM: N (nodes) and M (metastasis) — all sites
Olfactory Neuroblastoma
The rare cancer of the smell epithelium (esthesioneuroblastoma)
- Esthesioneuroblastoma: cancer of smell tissue
- Esthesioneuroblastoma: treatment
Managing Sinonasal Malignancy
Four weapons, usually combined
- The four treatment methods
- Surgery: three standard operations
- Extent of upper-jaw resection for sinonasal cancer
- Tumor destroying the orbital floor on CT
- Radiotherapy: when and how it is used
- Chemotherapy and immunotherapy
- Prognosis of sinonasal malignancy
- Three ideas to carry away
- Key takeaways
- Sources cited in the text
- Ear, Nose, and Throat Diseases: With Head and Neck Surgery