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A modified midfacial degloving approach for the treatment of unilateral paranasal sinus tumours

Authors
 Hyun Jik Kim  ;  Chang-Hoon Kim  ;  Ju-Wan Kang  ;  Woo-Chul Shin  ;  Yoo Suk Kim  ;  Youn-Kyoung Do  ;  Jeung-Gweon Lee  ;  Joo-Heon Yoon 
Citation
 Journal of Cranio-maxillo-facial Surgery, Vol.39(4) : 284-288, 2011 
Journal Title
 Journal of Cranio-maxillo-facial Surgery 
ISSN
 1010-5182 
Issue Date
2011
Abstract
PURPOSE: The midfacial degloving approach (MFDA) is the primary option for the removal of benign and malignant sinonasal tumours. However, the classic MFDA does not compensate for the fact that most benign and malignant paranasal sinus (PNS) tumours are unilateral and the incisions may lead to some unnecessary complications?. Surgical exposure is limited to the upper and deep part of the PNS. Modifications of the classical MFDA that minimize complications and improve surgical field exposure are warranted. PATIENTS: The medical records of 27 consecutive patients who had undergone surgery using a modified MFDA for treatment of unilateral benign or malignant tumours from 2000 to 2006, were reviewed. RESULTS: We developed and performed a modified MFDA utilizing a hemigingivobuccal incision, a transfixion incision, mucosal detachment of the pyriform aperture and separation of the upper lateral cartilage from the nasal bone in 27 patients with unilateral benign (85%) or malignant (15%) PNS neoplasms. Adequate surgical exposure was achieved in all cases. No technical problems and no intraoperative complications related to the surgical procedure were encountered. CONCLUSION: Our modified MFDA provides sufficient surgical exposure for the removal of unilateral malignant or benign PNS tumours with few surgical or cosmetic complications.
Full Text
http://www.sciencedirect.com/science/article/pii/S101051821000137X
DOI
10.1016/j.jcms.2010.06.006
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ju Wan(강주완)
Kim, Yoo Suk(김유석)
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Shin, Woo Chul(신우철)
Yoon, Joo Heon(윤주헌)
Lee, Jeung Gweon(이정권)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/93838
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