[How I do it - total maxillectomy via midfacial degloving].
Midfacial degloving for total maxillectomy in the case of a 67 year old male patient with a maxillary sinus adamantinoma of solid and multicystic plexiform differentiation is presented. This is the first report about surgical treatment of an adamantinoma via midfacial degloving. The importance of preoperative staging by means of computed tomography to exclude cheek infiltration and to plan the extension of maxillary resection is pointed out. The prognosis of the adamantinoma and its histopathological classification is discussed. The postoperative obturation of the resection defect and nasal cavity towards the oral cavity must be prepared preoperatively by the interdisciplinary care of dentistry and ENT surgery. Complete functional restoration of speech, swallowing and esthetic appearance can be achieved. Midfacial degloving for complete maxillectomy is rarely cited. Nevertheless it can be recommended for surgical treatment of maxillary tumours without spread in the cheek muscles and upper lip, even those which need total maxillectomy.
Westhofen
M
M
Klinik für Hals-, Nasen-, Ohrenheilkunde und Plastische Kopf- und Halschirurgie des Universitätsklinikums der RWTH Aachen, Germany. mwesthofen@post.klinikum.rwth-aachen.de
Mautsch
W
W
Blaum
M
M
D000368:Aged; D000564:Ameloblastoma / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008444:Maxillary Sinus Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed