Sinonasal Tumour- A Clinico-Pathological Study in a Tertiary Care Hospital

ABSTRACT

Introduction: Sinonasal tumours are relatively uncommontumours in the head-neck region. The aim of the present studywas to study the clinico-pathological profile of the sinonasaltumours and its management.Material and methods: It was a Prospective, observationalstudy. Forty Patients with sinonasal tumours, attending theotorhinolaryngology and Head-Neck surgery departmentof a tertiary-care hospital, Kolkata from October 2017 toSeptember 2018 were selected for the study. Previously treatedcases of sinonasal tumour with recurrence were excluded.They were evaluated by detailed history taking, properclinical examination, relevant radiological imaging followedby biopsy. A clinico-pathological profile was made from thedata obtained from these patients. Patients were treated eitherby surgery, radiotherapy or chemotherapy or a combination asappropriate and followed up regularly.Results: There were 27 males and 13 females in the presentstudy with a male female ratio of 21. Commonest age groupwas 11 to 20 years. Maximum number of patients encounteredwere students (30%) followed by domestic workers (20%).Nasal obstruction and epistaxis were the most commonmode of presentation (65% each). Out of 40 cases, 25 (62%)had benign and 15(38%) had malignant tumour. Juvenileangiofibroma and maxillary carcinoma were the most commonunder the benign and malignant varieties of sinonasal tumoursrespectively.Conclusion: Timely diagnosis and early treatment willdecrease the burden of morbidity and mortality in thesepatients. This study recommends awareness regarding thedisease process and health education to people regardingmaintenance of hygienic conditions and utilization of healthfacilities.