Sinonasal Cancer & Endonasal Cancer Surgery in Mumbai
Advanced Surgical Care for Cancers of the Nose & Paranasal Sinuses
Sinonasal cancers are uncommon cancers that develop inside the nasal cavity or the paranasal sinuses. Because these areas are located close to the eyes, brain, and important nerves, treatment requires careful planning and specialised surgical expertise. Depending on the type, location, and stage of the tumour, surgery may be performed using advanced endonasal (through the nose) techniques or conventional surgical approaches. At VED Hospital, every patient undergoes a comprehensive evaluation to determine the most appropriate treatment plan, with the goal of complete tumour removal while preserving normal function whenever medically possible.
Whether you’ve been diagnosed with sinonasal cancer, have been advised to undergo endonasal cancer surgery, or are seeking a second opinion, our Head & Neck Cancer specialists are here to guide you through every stage of diagnosis, treatment, and recovery.
What Brings You Here Today?
Many symptoms of sinonasal cancer resemble common sinus problems, which is why persistent symptoms should not be ignored. If any of these situations sound familiar, specialist evaluation is recommended.
I Have Persistent Nasal Blockage
Long-standing blockage on one side of the nose may require further evaluation.
I've Been Having Frequent Nosebleeds
Repeated or unexplained nosebleeds should always be investigated.
I Have Swelling Around My Eye or Face
Swelling near the eyes or cheeks may indicate involvement of nearby structures.
I've Been Diagnosed with Sinonasal Cancer
Understanding your treatment options helps you make informed decisions about surgery.
I've Been Advised to Undergo Endonasal Surgery
A specialist consultation helps determine whether a minimally invasive endoscopic approach is suitable.
I'm Looking for a Second Opinion
Our specialists can review your reports and discuss the most appropriate treatment strategy for your condition.
Understanding Sinonasal Cancer & Endonasal Surgery
Sinonasal cancers develop in the nasal cavity or the air-filled sinuses surrounding the nose. Although rare, these cancers require specialised treatment because of their proximity to the eyes, skull base, brain, and major blood vessels.
For selected patients, endonasal surgery allows surgeons to access and remove tumours through the natural nasal passages using high-definition endoscopic equipment, avoiding external facial incisions. However, some patients may require open surgery or a combination of surgical approaches depending on the extent of the disease.
Why Early Specialist Evaluation Matters
Persistent nasal symptoms should not always be attributed to allergies or sinus infections. Early evaluation helps detect sinonasal cancers before they spread to nearby structures, allowing more treatment options and better functional outcomes. Early specialist assessment may help:
- Detect sinonasal cancer at an earlier stage
- Improve treatment planning
- Preserve nearby structures such as the eyes and skull base
- Increase the possibility of minimally invasive surgery
- Reduce the need for more extensive procedures
- Support better long-term treatment outcomes
Care
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Compassion
Human Touch
Cure
Trusted Outcomes
Treatment Options for Sinonasal Cancer
The recommended treatment depends on the type of tumour, its extent, and the patient’s overall condition.
Endoscopic Endonasal Surgery
Selected tumours can be removed through the nose using high-definition endoscopic techniques without external facial incisions whenever medically appropriate.
Open Sinonasal Surgery
Large or complex tumours involving surrounding structures may require conventional open surgery to achieve complete tumour removal.
Skull Base Surgery
If the tumour extends towards the skull base, specialised skull base surgical techniques may be required as part of treatment.
Microvascular Reconstruction
When extensive tissue removal is necessary, reconstructive surgery using tissue transfer techniques helps restore appearance and function.
Radiation Therapy
Radiation therapy may be recommended after surgery or, in selected cases, as the primary treatment to reduce the risk of recurrence.
Chemotherapy & Targeted Therapy
Certain patients may benefit from chemotherapy, targeted therapy, or combined treatment depending on the tumour type and stage.
Supportive Rehabilitation
Patients may require rehabilitation for nasal function, speech, swallowing, or other treatment-related concerns during recovery.
Long-Term Follow-Up
Regular examinations, nasal endoscopy, and imaging studies help monitor healing, assess treatment response, and detect recurrence at an early stage.
Finding the Right Diagnosis Starts with Understanding the Whole Picture
Before recommending sinonasal or endonasal cancer surgery, our specialists carefully assess the tumour, surrounding structures, and your overall health to determine the safest and most effective treatment approach.
Medical History
Understanding your symptoms, smoking history, occupational exposures, previous sinus conditions, biopsy reports, and overall health.
Clinical Examination
A detailed examination of the nose, sinuses, mouth, throat, neck, and surrounding structures helps identify the extent of disease.
Nasal Endoscopy
A specialised endoscope allows direct visualisation of the nasal cavity and tumour while helping assess its size and location.
Advanced Imaging
CT scan, MRI, PET-CT, or other imaging studies help evaluate tumour extent, nearby bone involvement, skull base extension, and lymph nodes.
Biopsy & Diagnosis
A biopsy confirms the diagnosis and provides essential information for treatment planning.
Multidisciplinary Treatment Planning
Complex cases are reviewed by Head & Neck surgeons, ENT surgeons, skull base surgeons, medical oncologists, radiation oncologists, radiologists, pathologists, and anaesthesia specialists.
Frequently Asked Question
Will every sinonasal cancer require open surgery?
No. Many early or appropriately located tumours can be treated using endoscopic techniques. The choice of surgery depends on the tumour’s size, location, and extent.
Can sinonasal cancer spread to nearby structures?
Yes. If left untreated, these cancers may spread to nearby areas such as the eyes, skull base, or brain, making early diagnosis and treatment particularly important.
Will I need radiation or chemotherapy after surgery?
Some patients require additional treatment after surgery depending on the final pathology report, tumour stage, and overall treatment plan.
How long is the recovery after surgery?
Recovery varies depending on the complexity of the surgery and whether reconstruction or additional treatment is required. Your healthcare team will provide personalised recovery guidance.
Will I need regular follow-up after treatment?
Yes. Regular follow-up with nasal endoscopy, imaging, and clinical examinations is essential to monitor recovery and detect recurrence as early as possible.
Take the Next Step Towards Expert Sinonasal Cancer Care
If you’ve been diagnosed with sinonasal cancer or have been advised to undergo endonasal cancer surgery, timely specialist evaluation can help determine the safest and most appropriate treatment strategy. Book a consultation with our Head & Neck Cancer specialists at VED Hospital to discuss your diagnosis, understand your treatment options, and receive expert care using advanced surgical techniques focused on achieving the best possible outcomes.
