JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY
Online ISSN : 1884-474X
Print ISSN : 1349-581X
ISSN-L : 1349-581X
Midfacial degloving approach to neoplasm of the nasal and paranasal cavities and the epipharynx
Yutaka HanamureYukari SagaraKouji DeguchiFujihiko KasanoNaoko Kashima
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1999 Volume 9 Issue 2 Pages 119-123

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Abstract
Midfacial degloving is an excellent technique for entering the deeper parts of the midfacial region, particularly the nasal and paranasal cavities, the epipharynx and the base of the skull. This approach consists of a bilateral sublabial incision and rhinoplastic release of the nasal soft tissue, exposing the whole bony midf ace without external skin incisions. We reported two cases of the tumor resected by midfacial degloving technique ; a case of juvenile nasopharyngeal angiof ibroma extending to the pterygomaxillary space (Chandler's stage III) and a case of maxillary large schwannoma extending to the infratemporal fossa. The cosmetic results have been excellent. The approach is ideal for children, adolescents and women with a benign tumor of the deep midfacial region.
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