Objective To explore the clinical features and surgical efficacy of nasal cavity and sinuses adenoid cystic carcinoma(ACC).Methods The main clinical manifestations and biological characteristics of 31 patients with pathological diagnosis of ACC of nasal cavity and sinuses admitted to the Third People's Hospital of Yunnan Province from June 2010 to June 2017 were retrospectively analyzed. Different methods of surgery and postoperative radiotherapy were carried out for patients with different parts and stages.Results After 31 patients were followed up,and one of them was lost to follow-up.The 3-year survival rate was 87.1% (27/31),the 5-year survival rate was 71.0%(22/31).The 3-year local recurrence rate was 16.2% (5/31),and the 5-year local recurrence rate was 25.8%(8/31).Conclusion The growth site of ACC of nasal cavity and sinuses is deep and its adjacent structure is complex.ACC tumors are highly invasive and grow along nerve infiltration, which is difficult to be completely resected and prone to recurrence. Traditional surgery combined with nasal endoscopic skull base technique and nerve tracking technique is an effective way to reduce recurrence and improve survival rate.