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The role of midfacial degloving in modern rhinological practice

Howard, DJ; Lund, VJ; (1999) The role of midfacial degloving in modern rhinological practice. Journal of Laryngology and Otology , 113 (10) 885 - 887. 10.1017/S0022215100145505. Green open access

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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 ore-antral fistula (three cases) and epiphora (three cases) all of which were successfully treated.

Type: Article
Title: The role of midfacial degloving in modern rhinological practice
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S0022215100145505
Publisher version: http://dx.doi.org/10.1017/S0022215100145505
Language: English
Additional information: Copyright Cambridge University Press 1999
Keywords: Paranasal sinuses, Nose, Neoplasms, Surgery, Operative, Para-nasal sinuses, Paranasal sinuses, Inverted papilloma, Skull-base, Nose, Experience, Resection, Cavity
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute
URI: https://discovery.ucl.ac.uk/id/eprint/53806
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