Speciality Intrest

This speciality shines a very focused interest on the diseases of the nasal sinuses and the skull base. Surgeons in this field have a lot of collaborations with medical, surgical, and other health services . In general the focus can be categories into Rhinology and Skull Base Disease and Tumor Management.

Rhinology and Skull Base Disease

  • Rhinosinusitis (all forms – including):
    • Acute, chronic, acute exacerbation of chronic, or recurrent acute
    • Maxillary, ethmoid, frontal, sphenoid sinuses
    • Fungal rhinosinusitis
      • Invasive
      • Non-invasive (extra-mucosal)
        • Allergic
        • Non-allerg
    • Nasal Polyposis
    • Mucoceles / Mucopyoceles
    • Cystic fibrosis related sinus disease
  • Nasal obstruction
    • Nasal valve collapse
    • Deviated septum
    • Turbinate hypertrophy
    • Disordered breathing during sleep (apnea & snoring)
    • Choanal atresia
    • Septal perforation
  • Inhalant allergies (dust, mold, pet, weeds. grasses, trees)
  • Epistaxis (nose bleeds)
    • Hereditary Hemorrhagic telangiectasia (Osler Weber Rendu)
  • Cerebrospinal Fluid (CSF) Leaks
  • Encephaloceles of the anterior and middle cranial fossa
  • Tumors of the nose, sinuses and anterior skull base including
  • Sinus related head pain
  • Disturbances of sense of smell (olfaction)
  • Trauma of the nose and sinuses
  • Eye Disease Related to the Sinonasal Passages
    • Grave’s Dysthyroid Orbitopathy
    • Orbital Abscess/Subperiosteal abscess
    • Compressive Optic Neuropathy
    • Epiphora (pathologic tearing of the eye)
  • Granulomatous sinonasal disease
    • Wegener’s granulomatosis
    • Sarcoidosis
    • Amyloidosis

Tumors Management

Benign Tumors

  • Osteoma
  • Ossifying fibroma
  • Fibrous dysplasia
  • Oncocytic/cylindric cell papilloma
  • Inverted papilloma
  • Juvenile nasal angiofibroma
  • Hemangioma of pregnancy
  • Giant cell tumor
  • Cholesterol granuloma
  • Clival Chordoma
  • Meningioma
  • Nasal dermoids

Malignant Tumors

  • Squamous cell carcinoma
  • Malignant melanoma
  • Adenocarcinoma
  • Adenosquamous carcinoma..
  • Leiomyosarcoma
  • Chondrosarcoma
  • Esthesioneuroblastoma
  • Spindle cell carcinoma.
  • Adenoid cystic carcinoma.
  • Sinonasal undifferentiated carcinoma (SNUC)
  • Malignant peripheral nerve sheath tumor
  • Ameloblastoma
  • Metastatic cancers to the nose & sinuses
  • Plasmacytoma
  • Lymphoma