J Korean Assoc Oral Maxillofac Surg.  2005 Feb;31(1):74-81.

Midfacial degloving approach in midfacial bone fracture : the report of cases

Affiliations
  • 1Department of Oral & Maxillofacial Surgery, Gachon Medical School, Gil Medical Center, Korea. jjcheol@ghil.com

Abstract

In 1974, Casson et. al. reported midfacial degloving approach to repair the midfacial bone fracture. After then, this approach has been used frequently to treat the lesions on nasal cavity, nasopharynx, facial plastic surgery and midfacial trauma. Midfacial degloving approach consists of 1) bilateral sublabial incision 2) complete transfixion incision/ septocolumellar incision 3) bilateral intercartilaginous incision 4) bilateral pyriform aperature incision. This approach provides proper access for midfacial bone structure without facial scar but has post-operative complications such as transient epistaxis, infraorbital nerve paresthesia and nasal crust. We treated three patients using midfacial degloving approach to correct traumatic deformity in midface area. In two patients, rhinoplasty with autogenous rib graft was done simultaneously. So we report these cases with review of literatures.

Keyword

Midfacial degloving; Midfacial trauma

MeSH Terms

Cicatrix
Congenital Abnormalities
Epistaxis
Fractures, Bone*
Humans
Nasal Cavity
Nasopharynx
Paresthesia
Rhinoplasty
Ribs
Surgery, Plastic
Transplants
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