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Maj John G. Bizon, MC, USAF; Richard K. Newman, MD

Arch Otolaryngol Head Neck Surg. 1986;112(6):664-667.

Abstract
• Malignant melanomas comprise approximately 1.5% of all malignant tumors and one fifth of these will involve the head and neck. The surgeon who operates in this region should be familiar with all aspects of this disease. The most common site of metastasis to the nose and paranasal sinuses is via the maxillary sinus. Often these metastases are of renal origin, with pulmonary metastases being the second most common source. The most frequent presenting symptoms are epistaxis, a nasal mass, or nasal obstruction. Review of the English literature to date has not revealed any reports of isolated metastatic melanoma to the ethmoid sinus. Batson, in 1940, proposed a plausible mechanism of such hematogenous metastasis via a valveless vertebral venous bed.

(Arch Otolaryngol Head Neck Surg 1986;112:664-667)

Author Affiliations
From USAF Medical Center, Lackland Air Force Base, Tex.

Footnotes
Accepted for publication June 21, 1985.

The opinions expressed herein are those of the authors and do not necessarily reflect the opinion or policy of the Department of Defense.

Presented before the annual meeting of the American Academy of Otolaryngology-Head and Neck Surgery, Oct 23-27, 1983.

Reprint requests to Department of Otolaryngology, Head and Neck Surgery, Wilford Hass, USAF Medical Center, Lackland Air Force Base, TX 78236 (Dr Bizon).

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