Main »
ENT Diseases
» Malignant tumors of the nose and paranasal sinuses
18:25
Malignant tumors of the nose and paranasal sinuses
Malignant tumors of the nose and paranasal sinuses
Malignant diseases of the nose and paranasal sinuses - a cancer and sarcoma, as a rule, are primary. They are relatively rare, more common in men, mostly middle-aged and elderly.
The most common primary malignant maxillary affected, then grids, frontal and sphenoid sinus. Rarely a source of cancer is the nasal septum.
Malignant tumors of the paranasal determined by their relatively rapid growth into adjacent organs and tissues. Metastasis usually occurs late.
Tumors of the nose appear early, but their symptoms are not severe at the beginning of the character. Patients gradually increasing worries gradually difficulty breathing through one side of the nose, mucous discharge, and for those with blood. Later may be epistaxis, nasal ear, ear pain. Externally, the tumor often bumpy.
In the later stages of tumor of the nose grow through latticed labyrinth into the orbit, causing proptosis. Primary tumor localization in the maxillary sinus is characterized by the prolonged absence of clinical symptoms. The first signs are often neuralgia, secondary damage teeth, deformation of the facial skeleton, secondary inflammation in the sinus, proptosis. Of the maxillary sinus tumor may grow through the fistula into the nasal cavity and ethmoid bone, and then into the base of the skull.
Treatment of malignant tumors in the early stages of the disease combined - removal of the tumor with diathermocoagulation for radiation therapy to lymph in the way. In the presence of regional lymph node metastases or suspected, they show their wide excision with fiber.
Germination of the tumor at the base of the skull, pterygopalatine fossa deep to exclude the possibility of radical excision of the tumor - is held in such patients radiotherapy or regional chemotherapy. Involvement in the process of tumor tissue of the orbit and hard palate allows for a wide surgical resection of the upper jaw. Cosmetic facial deformities remove then with plastic surgery and individual prostheses.
