Nasal and Paranasal Sinus Cancers: A Complete Surgical Guide

Nasal and paranasal sinus cancers are uncommon yet potentially harmful cancers developing in the air-filled spaces surrounding the nose. These cancers can sometimes remain undiagnosed early on as they correlate with the signs and symptoms of sinus infections or allergies. Because of this, it is essential to obtain an early diagnosis and appropriate surgical intervention, as this increases the chances of successful treatment and outcomes.
Dr. Supreet Bhatt is a recognized leading head and neck cancer surgeon in Ahmedabad who uses personal methodical approaches to provide state-of-the-art diagnostic and surgical treatment of nasal and paranasal sinus cancers.
What are nasal and paranasal sinuses?
- Nasal cavity: The internal cavity behind the nose that allows the passage of air.
- Paranasal sinuses: Air-filled cavities adjacent to the nasal cavity, such as frontal, ethmoid, maxillary and sphenoid sinuses.
Tumors, commonly squamous cell carcinoma but also other types such as adenocarcinomas and melanomas, may form in the lining of these areas.
Common signs and symptoms
The symptoms mimic those of chronic sinusitis. A persistent or one-sided symptom may indicate a tumor:
- Nasal obstruction or blockage (particularly if developed on one side)
- Nose bleeding
- Pain and/or swelling in the face
- A change in sense of smell or loss of smell
- Teeth loosening or jaw pain
- Numbness anywhere in the face
- Bulging of the eye, and/or changes in vision
- Nasal discharge that never goes away
If any of these symptoms last longer than a few weeks or seem to be worsening over time, an appointment should be scheduled as soon as possible.
Diagnosis: Identifying Sinus Cancers Early
Identifying sinus cancer may be greatly impacted by an accurate diagnosis and diagnosing a cancer as early as possible will increase the chances of a favorable prognosis. In order to diagnose Nasal and Sinus cancers, a number of diagnostics are used:
- Nasal Endoscopy: Using a thin scope allows the ability to visualize the nasal cavity.
- Imaging Tests: CT or MRI are used to assist with the size and spread of the tumor.
- Biopsy: The excised sample is examined for malignancy.
- PET Scan: May be utilized to document distal spread.
In Ahmedabad, Dr. Supreet Bhatt uses a multidisciplinary approach and ensures that every patient undergoes a routine pre-surgical evaluation before formulating the specific treatment plan.
Treatment Options For Nasal and Sinus Cancers
There are several treatment options available and they will depend on the type, size, location, and stage of the tumor. Depending on the type, stage, location etc., treatment may include one, or several, of the following modalities:
1. Surgical Treatment
Most early stage nasal and sinus cancers are treated surgically as it is still the main treatment modality. The tumor is removed using either open or an endoscopic minimally invasive approaches as this allows for less recovery time while allowing for part preservation of the facial structures.
2. Radiation Therapy
Usually recommended for patients after surgery to destroy any remaining cancer cells and reduce risk of recurrence.
3. Chemotherapy
May be used in acute cases or given in addition to radiation (i.e, chemoradiotherapy) for better outcomes.
Risks and Recovery
Surgery has the best chance of cure but has risks of the following:
- Transient or permanent swelling/numbness of the face
- Vision disturbance (if location of tumor is near the eye)
- Alteration in speech/nasal function
- Bleeding/infection at surgical site
Expert care by a qualified head and neck oncosurgeon like Dr. Supreet Bhatt, will minimize the risks, and the individual will be carefully monitored in recovery, with individualized post-operative care.
Why Choose Ahmedabad for Sinus Cancer Surgery?
Patients come to Ahmedabad to treat nasal and sinus tumours for several reasons:
- State-of-the-art surgical technology
- Experienced head and neck oncologists available
- Affordable, high-quality care
- Diagnostic and rehabilitative support systems in place
Dr. Supreet Bhatt is a prominent head and neck surgeon in Ahmedabad specializing in personalized minimally invasive care for cancer patients.
Final Thoughts
If you or a loved one have nasal symptoms, facial pain, or prolonged issues with sinus symptoms, do not delay in seeking the diagnosis. Nasal and paranasal sinus cancers are treatable, especially at early stages.
Contact Dr. Supreet Bhatt today to receive excellent surgical care for your head and neck cancers in Ahmedabad.

Head and Neck Cancer Surgeon, Senior Consulatent Zydus Cancer Center, Skull base cancer specialist