Nasomaxillary swellings: our experience at tertiary care hospital


  • Mukesh Rawat Department of ENT, NSCB MCH, Jabalpur, Madhya Pradesh, India
  • Archana Lall Department of ENT, NSCB MCH, Jabalpur, Madhya Pradesh, India
  • Kavita Sachdeva Department of ENT, NSCB MCH, Jabalpur, Madhya Pradesh, India



Nasomaxillary swellings, Benign lesions, Malignant lesions, Fungal sinusitis, JNA, Jaw lesions


Background:  A wide spectrum of lesions may present as nasomaxillary swellings ranges from benign to malignant lesions including fungal sinusitis and fibro vascular lesions example: JNA (Juvenile nasopharyngeal angiofibroma) and Inverted papilloma. Many Pathologies ranging from benign to malignant tumors may mimic a simple Nasomaxillary mass. It is diagnostic challenge to determine pathology behind it. A detailed clinical evaluation with nasal endoscopy and relevant pre-operative investigations including radiological imaging and histopathological examination is essential to reach up to final diagnosis. The aim of the study was to do clinicopathological evaluation of patients presenting with nasomaxillary swelling and correlation of clinical, radiological and Histopathological findings.

Methods: This was a prospective observational study on 50 nasomaxillary swelling patients who are presented in the Department of ENT and Head and Neck Surgery of N.S.C.B. MCH Jabalpur, a tertiary care Hospital, between March 2018 to August 2019. A detailed history taking and clinical examination with nasal endoscopy and relevant preoperative investigations including CECT Nose and PNS and histopathological examination was done in all patients.

Results: 50 Nasomaxillary swelling patients were selected for this study. 30 patients were male and 20 were females. Ages of patients were varied from 12 years to 72 years. 23 patients (46%) were malignant and 27 (54%) were benign. Histopathological examination results shows benign lesions like JNA (6 cases), fungal sinusitis (6 cases), dermoid cyst (1 case), inverted papilloma (3 cases), sebaceous cyst (1 case), jaw lesions (10 cases), (odontogenic like radicular/ infected cyst, dentigerous cyst, cystic ameloblastoma and non-odontogenic like fibrous dysplasia) and malignant lesions like SCC (squamous cell carcinoma) (12 cases), spindle cell sarcoma (2 cases), undifferentiated carcinoma (3 cases), adenocarcinoma (3 cases), adenoid cystic carcinoma (1 case), Invasive pleomorphic sarcoma (1 case) and malignant melanoma (1 case). SCC was most common lesion f/b JNA and fungal sinusitis. Well differentiated SCC was most common histological type (10 out of 12 cases of SCC). Most common symptom was nasal obstruction (66% cases) f/b epistaxis (52% cases) but epitasis was most common symptom among malignant and JNA cases. In 6 cases (3 JNA, 1 inverted papilloma, 1 malignancy and 1 radicular cyst) radiological diagnosis were not correlated with histological findings.

Conclusions: Most our cases were malignant nasomaxillary lesions followed by fungal sinusitis and JNA. Most patients presented in advanced stage of disease so rapidly evaluation including nasal endoscopy should be done. CECT scan is essential to determine tumors extent and bony lesions. All patients should undergo hisotopatholigical examination. The final diagnosis should be made on the basis of clinical, radiological and histopathological findings.


Scott-Brown. Otorhinolaryngology Head and Neck Surgery-Eighth edition. 2019.

Bansal M. Diseases of EAR, NOSE and THROAT with head and Neck surgery. second edition. 2018.

F Jégouxa, A Métreaua, G Louvelb, C Bedferta. Paranasal sinus cancer. Elsevier Masson SAS. 2013;1879-7296.

Deepthi Satish, C. B. Pratibha, A.M. Balasubramanya. Unilateral maxillary swelling. Int J Ort Head Neck Surg. 2019;5(1):120-6.

Harbo G, Grau C, Bundgaard T, Overgaard M, Elbrønd O, Søgaard H et al. Cancer of the Nasal Cavity and Paranasal Sinuses. Acta Oncologica. 1997;36(1):45-50.

Sudheer CP, Singh TD. Squamous cell carcinoma of maxillary sinus. Int J Ort Head Neck Surg. 2018;4(5):1229-232.

Aduayi OS, Famurewa OC, Adetiloye VA, Omonisi AE. Squamous cell carcinoma of the maxillary antrum mimicking invasive fungal sinusitis. J Health Res Rev. 2015;2(3):112-4.

Jones AV, Robinson I, Speight PM. Sinonasal undifferentiated carcinoma. Skull Bas Imag. 2020;165-171.

Kour M, Dwivedi A. Adenocarcinoma of Left Maxilla. 2018;18(1):2249-4618.

Sanghvi SP, Patel NR, Eloy JA. Sinonasal adenoid cystic carcinoma. Laryngoscop. 2013;123(7):1592-7.

Devi S, Sinha R, Singh RK. Malignant melanoma maxilla. Nat J Maxillofac Surg. 2015;6(1):115-118.

Dwivedi N, Raj V, Chandra S, Agarwal A. Maxillary ameloblastoma extending into the maxillary sinus. Eur J Gen Dent. 2013;2(2):182-86.

Karthikeyan P, Coumare VN. Incidence and Presentation of Fungal Sinusitis in Patient Diagnosed with Chronic Rhinosinusitis. Indian J Otolaryngol Head Neck Surg. 2010;62(4):381-85.

Skolnik EM, Loewy A, Friedman JE. Inverted Papilloma of the Nasal Cavity. 2020.






Original Research Articles