Objective:

To develop consensus-driven recommendations for the evaluation and management of sinonasal masses.

Key Findings:

• Physicians should maintain suspicion for sinonasal malignancy in patients with specific symptoms and perform comprehensive nasal endoscopy.
• Avoid complete excisional biopsy without permanent pathologic diagnosis to prevent complications.
• Endoscopic endonasal biopsy is preferred for tissue sampling due to its minimally invasive nature.
• Imaging is recommended prior to biopsy when encephalocele is suspected, and high-resolution MRI is advised for certain sinonasal masses.
• Pathology review should be conducted by experts in sinonasal conditions, with consideration for second opinions when necessary.

Interpretation:

The consensus statement aims to guide physicians in the evaluation and management of sinonasal masses, helping to avoid common pitfalls.

Limitations:

• Reliance on expert opinion may introduce bias.
• Implementation may be challenging in settings with limited access to advanced imaging or subspecialty pathology.

Conclusion:

The consensus statement can help optimize management practices and improve patient outcomes.