Abstract

MENDEZ TENORIO, A.R.  and  SAHAGUN PILLE, I.. Treatment of midfacial fracture by midfacial degloving: Case report. Rev Esp Cirug Oral y Maxilofac [online]. 2008, vol.30, n.5, pp.371-377. ISSN 2173-9161.

Surgical access to midface structures in maxillofacial trauma traditionally has been obtained by sublabial incisions and cutaneous incisions for orbital trauma (subciliary, infraorbital, Lynch, "H" or "open-sky" and gull-wing incisions). The midfacial degloving procedure was developed by associating sublabial incisions with rhinoplasty incisions and used to gain access to and treat superficial sinonasal neoplasms, according to a report by Casson in 1974. There have been a few reports of the use of this procedure in facial trauma. We used this technique as a internal approach for a patient with panfacial fractures. The technique demonstrated several advantages over conventional techniques for approaching the midfacial bones. It provided an extended surgical field, eliminated cutaneous incisions and their esthetic sequelae, and had a complication-free postoperative course. Our results showed that the midfacial degloving procedure is a useful and safe technique for securing access in facial trauma.

Keywords : Midfacial fractures; Surgical access; Midfacial degloving procedur.

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