1. Sinus tumors
Mazidi.MD

2. Benign tumors Angiofibroma origin:sphenopalatine foramen
male years
epistaxis + nasal obstruction + OME
Dx : endoscopy ( vascular mass)
CT+C,MRI
Biopsy
Rx: Endoscopic surgery +preop embolization

5. Inverted papilloma Men 50-60
origin: lat nasal wall ( fontanelle area )
Etiology : HPV
nasal obstruction + watery rhinorrhea
Dx : endoscopy: a pale polypoid lesion & biopsy
imaging: MRI (cririform-columnar appearance)
CT ( hyperostosis in origin )
Rx: endoscopic surgery

8. osteoma The most common benign tumor Male 2-5 decades
Frontal sinus is the most common affected
in association with Gardner's syn.
Dx : normal endocopy
asymptomatic, sinusitis , orbital , CSF leak , deformity
imaging : dense mass to ground glass
Rx: asymptomatic …. Wait and see
symptomatic……surgery

10. Malignant tumors Facial &tooth pain , nasal obstruction ,epistaxis
Severe : diplopia , epiphora , malocclusion , trismus , *neck mass ,*hearing loss , facial numbness
Ph.E :nasal or oral mass, *proptosis , *cranial nerve palsy
Imaging: CT , MRI
Dx: biopsy , fluid cytology
Rx: surgery

11. RF : aflatoxin , chemical substance
SCC
Rx : surgery +radiotherapy +electrocoagulation
radiotherapy side effect: cataract
Adenocarcinoma
wood & leather industry
Adenoid cystic carcinoma
Sarcoma
Malignant melanoma ( black discharge +pigmented mass )