Sinonasal lesions – Case analysis at a tertiary care centre in coastal India

Introduction and Aim: The sinonasal region is affected by different types of neoplastic and non-neoplastic conditions. This study attempts to highlight our experience with these lesions and to categorize them. Methods: A retrospective study was conducted in our hospitals and data including history, clinical findings, and histopathological diagnosis was collected from medical records of 187 patients who visited the outpatient department with nasal, paranasal sinus or nasopharyngeal lesions from 2007 to 2020. Results: A total of 187 patients were included. The commonest site involved was the nasal cavity in 104 (55.61%) patients, followed by maxillary sinus in 26 (13.9%) patients and nasopharynx in 16 (8.56%) patients. The majority of the cases were benign tumours (41.71%), followed by malignancy (35.29%). Inverted papilloma was the commonest benign tumour (13.9%); squamous cell carcinoma was the most frequent type of malignancy (12.3%). Conclusion: The overlapping features of nasal masses make diagnosis a challenge, the role of histopathology is indispensable. Early diagnosis and treatment are essential for better clinical management, which will ultimately enhance healthcare.