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North American Delphi Consensus Study on Sinonasal Malignancy Survivorship Care
Matheus Sewastjanow-Silva1, Samagra Jain2, Rita Snyder2
1Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
International Forum of Allergy & Rhinology
|July 2, 2026
Summary
Experts established consensus on sinonasal cancer survivorship guidelines, focusing on surveillance, symptom management, and long-term follow-up. Further research is needed for second primary tumor screening.
Area of Science:
- Otolaryngology
- Oncology
- Survivorship Research
Background:
- Sinonasal cancer survival rates have improved.
- Dedicated survivorship guidelines are lacking for this patient group.
Purpose of the Study:
- To determine expert consensus on key survivorship elements.
- Focus areas include surveillance, second tumor screening, toxicity, and symptom management.
Main Methods:
- Modified Delphi method employed for consensus development.
- Otolaryngology experts from 15 North American centers participated.
- Two rounds of Delphi surveys were conducted.
Main Results:
- Consensus achieved on 30 statements regarding surveillance and management.
- Guidelines address endoscopy, imaging, and surveillance frequency based on histology and grade.
- Long-term follow-up is crucial for managing symptoms, toxicities, and quality of life issues.
Conclusions:
- Key aspects of surveillance, toxicity, and symptom management are now defined.
- Emphasis placed on long-term follow-up and enrollment in survivorship programs.
- Further research is recommended, particularly for second primary tumor screening protocols.
