midfacial degloving approach for excision of juvenile angiofibroma

Midfacial degloving is a well known technique for entering the nasal and paranasal cavities, the nasopharynx and the base of skull. We report our experience with midfacial degloving approach, applied to two patients with Juvenile Angiofibroma of nasal cavity and nasopharynx. We have found this approach ideal for access to the nasopharynx and infratemporal fossa while avoiding an external skin incision. The long term cosmetic results are excellent along with complete excision of the tumour

Lateral rhinotomy

The term lateral rhinotomy literally means, to make an openings in the lateral wall of nose. The versatility of the approach can be appreciated by the fact that by simple modifications a variety of procedures can be performed on the nasal cavity, paranasal sinuses and nasopharynx Lateral rhinotomy is an approach and not an operation. It gives very good exposeure of nasal cavity and access to paranasal sinuses and nasopharynx The incision can be modified and extended to the need. We recommend that the lower end of the incision should be brought just below the mid point of vestibule and extended into the nose or upto the columella and upper lip after opening of the lateral wall of nose and confirming the extent of the disease as required