Letter to Editor
Psychological Manifestation of Patients with Sinonasal Tumors: An Obscured and Commonly Neglected Aspect of the DiseaseAyotunde James Fasunla* and Habeeb Omokanye
Department of Otorhinolaryngology, College of Medicine, University of Ibadan and University College Hospital, Ibadan, Nigeria
- Corresponding Author:
- Dr. Ayotunde James fasunla
Department of Otorhinolaryngology
University College Hospital, PMB 5116, Ibadan. Nigeria
E-mail: [email protected]
Received date: November 02, 2011; Accepted date: November 14, 2011; Published date: November 18, 2011
Citation: Fasunla AJ, Omokanye H (2011) Psychological Manifestation of Patients with Sinonasal Tumors: An Obscured and Commonly Neglected Aspect of the Disease. Otolaryngol 1:107. doi:10.4172/2161-119X.1000107
Copyright: © 2011 Fasunla AJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The nose and paranasal sinuses occupy the mid portion of the face and are closely related to vital structures like orbit, skull base, cranial nerves, blood vessels etc. (Figure 1) Sinonasal carcinoma is the commonest malignancy of these structures [1,2] and accounts for about 3% of all head and neck malignancies. The hidden nature of the mucosal covering of these structures affected by this tumor contributes to its late clinical manifestation. In most cases, early symptoms are subtle and non-specific; hence, diagnosis is usually made at late stage of the disease [3,4]. Brent et al.  documented six month as the average duration between first symptom and diagnosis of sinonasal malignancy . The delay is definitely much longer in developing countries where further delay is caused by poor cancer awareness, traditional and religious believes, poverty, limited and uneven distribution of health resources, and a huge population that over burdens the available diagnostic facilities. Late disease stage presentation characterized most of the patients with sinonasal malignancies in developing countries.