What to Anticipate with Tumours of the Nose, Sinuses and Skull Base

Tumours of the nose, sinuses, and skull base, whether benign or malignant, necessitate a comprehensive medical evaluation by an ENT surgeon. This thorough assessment is crucial in distinguishing tumours in the sinonasal cavity or skull base from sinusitis, as they may present similar symptoms.

These symptoms may include difficulty breathing through the nasal cavity, nasal discharge, obstruction in the nasal cavity, nosebleeds, and midfacial pressure. However, these are general symptoms and underscore the need for further study and investigation by a highly qualified ENT specialist. This process ensures a conclusive diagnosis and allows for treatment tailored to the patient’s preferences.

Diagnosing Tumours of the Nose, Sinuses and Skull Base

A comprehensive diagnosis starts with a detailed in-office evaluation. Due to widely executed and successful diagnostic procedures such as endoscopies, it’s possible to diagnose tumours through this minimally invasive, advanced surgical technique.

Skull Base Surgery

Skull base surgery, a less invasive surgical technique, is employed to treat conditions affecting the skull base. It is particularly effective in removing tumours or benign growths at the skull base, such as pituitary tumours. These abnormal growths, located in the pituitary gland, a small pea-sized gland just behind the nose at the base of the brain, can be safely and accurately removed through the sinus cavity using the endonasal technique. This meticulous surgical approach is not a solo endeavour but a collaborative effort involving a multidisciplinary team of neurosurgeons and ear, nose, and throat surgeons, each bringing their unique expertise to ensure the best possible outcome for the patient.

The state-of-the-art, less invasive techniques, navigation and surgical tools used in skull base surgery are designed to minimise tissue disturbance and eliminate the need for brain manipulation. This not only enhances the outcome of the surgery but also ensures a smoother post-operative recovery for the patient, reducing the risk of complications and discomfort.

FAQ

What are the common signs of a sinus tumour?

Symptoms vary in each individual case, but general signs include the following:

  • Trouble breathing
  • Headaches
  • Lost sense of smell
  • Nasal discharge
  • Nosebleeds

However, these are general symptoms; only a registered and qualified medical professional can confirm a diagnosis.

Do you have to remove all benign sinonasal tumours?

Not all tumours need to be surgically removed. The most appropriate treatment will depend on several factors, such as the size and precise location of the tumour, the patient’s symptoms and outlook.

How do you diagnose sinonasal cancer?

There are several diagnostic methods used to check for sinonasal cancer, such as the following:

  • Comprehensive physical examination
  • Nasal endoscopy
  • CT scan
  • MRI scan
  • Biopsy
Are pituitary tumours dangerous?

Some are benign but may still result in complications due to location and size.