[An approach to tumors of the face by degloving. An elegant treatment of inverted papillomas and various sinus cancers. Values. Limitations and extension].
Degloving constitutes a hidden route of access to the middle third of the face. It combines a bilateral sublabial incision with a rhinoplastic approach, whereby all the soft tissues of the face can be undermined subperiosteally, leaving no external scar. This method offers an extended bilateral route of access to lesions of the nasal cavities and ethmoid/sphenoid/maxillary sinuses, deep to the clivus. Its exposing features at least compare with conventional technics, including bone resection or the creation of a valve. This procedure may be associated with other neurosurgical approaches in the treatment of extended lesions of the basis of the skull. Its use is particularly recommended in the treatment of inverted papillomas, although it applies as well to malignant tumors of the sinuses under certain conditions. We present here a review of our experience.
Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-Faciale, Hôpital Boucieaut, Paris.
J
J
Trotoux
F
F
Rivière
E
E
Pierard
P
P
Bonfils
M
M
Cymes
I
I
Bail
X
X
Lachiver
D000368:Aged; D005153:Facial Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010212:Papilloma / Q000601:surgery*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery
Abord des tumeurs de la face par "degloving". Une solution élégante au traitement des papillomes inverses et de certains cancers des sinus. Intérêts. Limites et extension.