Ghulam Murtaza, Muhammad Tariq, Nadeem Raza, Mujeeb M.
Excision of nasopharngeal angiofibroma by midfacial degloving approach.
Esculapio J Services Inst Med Sci Jan ;9(2):66-9.

Objective: To analyze the advantages of wide exposure by midfacial degloving approach for surgical excision of Juvenile Nasopharyngeal Angiofibroma. Material and Methods: Fifteen (15) patients with Nasopharyngeal Angiofibroma were included in the study. All were operated with midfacial degloving approach. Five cases were operated with out emobilization and 5 cases with emobilization of the feeding vessel. 5 cases were operated after temporary ligation of the external carotid artery. Results: 15 Patients were included in the study. Excision was done with mid facial degloving approach. Results were satisfactory regarding complete excision of the tumor with less post-operative complications and recurrence (2 out of 15). Conclusion: Midfacial degloving approach is an excellent approach providing wide exposure of infratemporal fossa, nasopharyx and skull base with less bleeding and no facial scar.

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