Malignant tumors of the nose and paranasal sinuses
Malignant tumors of the nose and paranasal sinuses – Elite Treatment in Europe
ENT Diseases -2005
Malignant disease of the nose and paranasal sinuses – cancer and sarcoma, as a rule, are primary. They are relatively rare, mostly men, mostly middle-aged and elderly.
The most common primary malignant maxillary affected, then the lattice, frontal and sphenoid sinuses. Rarely a malignant tumor is the source of the nasal septum.
Malignant tumors of the paranasal sinuses is determined by their relatively rapid invasion 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 worries gradually increasing difficulty in breathing through one half of the nose, mucous discharge, and for those with blood. Later may be epistaxis, nasal ear, ear pain. Externally, the tumor often bumpy.
At a later stage of the tumor through the nose grow trellised labyrinth into the orbit, causing proptosis. Initial localization of the tumor in the maxillary sinus is characterized by prolonged absence of clinical symptoms. The first signs are often neuralgic pain, secondary loss of teeth, deformation of the facial skeleton, the secondary inflammation in the sinus, exophthalmos. 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 disease combined – removal of the tumor with diathermocoagulation for radiation therapy to lymph flow in the way. In the presence of regional lymph node metastasis, or suspected, they show their wide excision together with the fiber.
Germination of the tumor at the base of the skull, deep in the pterygopalatine fossa eliminates 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, or the hard palate allows the possibility of wide surgical resection of the upper jaw. Cosmetic facial deformities then remove with plastic surgery and individual prostheses.
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