Excision of nasopharyngeal angiofibroma by midfacial degloving approach

ABSTRACT

To analyze the advantages of wide exposure by midfacial degloving approach for surgical excision of Juvenile Nasopharyngeal Angiofibroma. Fifteen [15] patients with Nasopharyngeal Angiofibroma were included in the study. All were operated with midfacial degloving approach. Five cases were operated with out emobilization and 5 cases with emobilization of the feeding vessel. 5 cases were operated after temporary ligation of the external carotid artery. 15 Patients were included in the study. Excision was done with mid facial degloving approach. Results were satisfactory regarding complete excision of the tumor with less postoperative complications and recurrence [2 out of 15]. Midfacial degloving approach is an excellent approach providing wide exposure of infratemporal fossa, nasopharyx and skull base with less bleeding and no facial scar