title: Midfacial degloving--access to nasal cavity and paranasal sinuses lesions.
abstract: Common surgical approaches for medial maxillectomy include lateral rhinotomy and midfacial degloving. Lateral rhinotomy provides excellent surgical exposure but leaves a bulging scar on the face. Despite its own limitations, midfacial degloving has been preferred to lateral rhinotomy because it does not leave any external scar on the face(1). The aim of this study is to evaluate the cosmetic results and surgical exposure access of midfacial degloving. Treatment morbidity was evaluated through: post operative hospital stay length, blood transfusion needs, complications, pre and post operative hemoglobin levels, disease recurrence, nasal packing, type of suture and antibiotics. Retrospective study was carried out with sixteen patients treated at the Hospital Geral de Fortaleza SESA/SUS from December 1999 through November 2003. Based on the results, we may conclude that midfacial degloving is effective to treat extensive nasal cavity lesions and paranasal sinuses with reduced post operative morbidity.
authors.affiliation: Hospital Geral de Fortaleza, SESA/SUS, Brazil. lidianembm@yahoo.com.br
authors.forename: Lidiane Maria de Brito Macedo
authors.initials: LM
authors.lastname: Ferreira
authors.forename: Adson Sales do Nascimento
authors.initials: AS
authors.lastname: Rios
authors.forename: Erika Ferreira
authors.initials: EF
authors.lastname: Gomes
authors.forename: Jorge Ferreira
authors.initials: JF
authors.lastname: Azevedo
authors.forename: Roberta de Paula
authors.initials: Rde P
authors.lastname: Araújo
authors.forename: Robiany Barbosa
authors.initials: RB
authors.lastname: Moraes
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001803:Blood Transfusion; D002648:Child; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009669:Nose Neoplasms / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D010255:Paranasal Sinus Neoplasms / Q000601:surgery; D012189:Retrospective Studies; D013630:Tampons, Surgical; D016896:Treatment Outcome
chemical_list: D006454:Hemoglobins