Tips and tricks in surgical management of maxillary sinus tumors

Abstract EN

Background : 3% of head and neck carcinomas are sinonasal malignancy.

Aim of study: Epidemiological evaluation of cancer maxilla in National Cancer Institute, Cairo University with emphasis on surgical strategy and intraoperative assessment of tumor extension that augment the oncologic, functional and esthetic results after resection of tumors of the maxilla.

Patients and methods: 30 patients diagnosed as malignant maxillary tumor in the surgical department, National Cancer Institute, Cairo University in the period from October 2012 to May 2016.

Results : In this study the most commonly recorded pathological diagnosis was squamous cell carcinoma 14 patients (46.7%).

Most of the patients were presented with delayed presentation, in this study stage IVa was the most frequent stage (detected in 15 patients accounting for 50%).

Results : The overall survival of the studied cases was estimated using Kaplan-Meier survival estimate.

It was of mean 22 months.

The 2 year survival rate for the overall studied cases was 40% Results : During the follow up period, local recurrence was recorded in 12 patients in this study (40%).

Distant metastases were detected during follow up in two patients in this study (6.6%).

Conclusion : Fine intraoperative surgical maneuvers can obtain secured resection margin (with special attention to adenoid cystic carcinoma); avoid postoperative functional complications like trismus, nasal regurgitation of food, epiphora or double vision finally enhance esthetic results