The Journal of Laryngology & Otology

Table of Contents - October 1999 - Volume 113, Issue 10  

Main Articles

The role of midfacial degloving in modern rhinological practice

David J. Howarda1 and Valerie J. Lunda1 c1

a1 Institute of Laryngology and Otology, University College London, London, UK

Abstract

The midfacial degloving approach has been available for twenty five years and is slowly increasing in popularity in the management of extensive benign lesions of the sinonasal region, for selected malignancy in this area and to afford access to the nasopharynx and infra-temporal fossa. The advantages, applications and low complication rate are presented in a cohort of 86 patients, ranging from three to 79 years of age with a mean follow-up of 5.5 years. Seventy-seven per cent of the group had benign pathology of which juvenile angiofibroma was the commonest (40 cases). The 20 cases of malignant disease were a heterogeneous group histopathologically including adenoid cystic carcinoma (four cases), malignant schwannoma (two cases), rhabdomyosarcoma (two cases) and squamous cell carcinoma (two cases). Five underwent bilateral radical maxillectomies combined with orbital clearance in one patient. Complications include oro-antral fistula (three cases) and epiphora (three cases) all of which were successfully treated.

(Accepted June 28 1999)

Key words

Correspondence:

c1 Address for correspondence: Professor Valerie J. Lund, Institute of Laryngology and Otology, University College London, 330-332 Gray's Inn Road, London WC1X 8DA. Fax: +44 0171 833 9480

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