Sinonasal and salivary malignancies are less common head and neck tumors but are still frequently seen by radiation oncologists and pose complex clinical decision making challenges due to the proximity to the facial nerve, optic structures, brain, and oral cavity. Treatments can radically affect patient appearance, psychosocial well-being, vision, speech/swallow function, and breathing. This activity includes clinical scenarios that highlight challenges in management approaches. Panelists provide the radiation oncology, medical oncology, and head/neck surgical perspectives on management and optimizing patient function. The activity will (1) review the integration of multi-disciplinary care including radiation, surgery, and systemic therapy to optimize oncologic outcomes and functional/cosmetic outcomes; (2) review advances in molecular and genetic characterization of the most common salivary/sinonasal tumors and how this influences systemic therapy and clinical trials; (3) definitive and postoperative radiation techniques; and (4) reconstruction options for orbital, nasal, and palatal function.

Topics:

1. Introductions and Case 1 - Salivary Malignancy
   Danielle Margalit, MD, MPH, Karen Choi, MD and Glenn J. Hanna, MD
2. Case 2 - Sinonasal Tumors
   Danielle Margalit, MD, MPH, Karen Choi, MD and Glenn J. Hanna, MD
3. Q and A

This activity is available from January 23, 2024, through 11:59 p.m. Eastern time on January 22, 2026. 

This activity was originally recorded at the 2023 ASTRO Annual Meeting.