Consensus Guidance May Improve Sinonasal Mass Outcomes

Multidisciplinary recommendations emphasize biopsy technique, imaging, and pathology review in patients with suspected sinonasal malignancy.

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

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.

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

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