How I do it - Total maxillectomy via midfacial degloving.

Midfacial degloving for total maxillectomy in the case of a 67 year old mal e patient with a maxillary sinus adamantinoma of solid and multicystic plex iform differentiation is presented. This is the first report about surgical treatment of an adamantinoma via midfacial degloving. The importance of pr eoperative staging by means of computed tomography to exclude cheek infiltr ation and to plan the extension of maxillary resection is pointed out. The prognosis of the adamantinoma and its histopathological classification is d iscussed. The postoperative obturation of the resection defect and nasal ca vity towards the oral cavity must be prepared preoperatively by the interdi sciplinary care of dentistry and ENT surgery. Complete functional restorati on of speech, swallowing and esthetic appearance can be achieved. Midfacial degloving for complete maxillectomy is rarely cited. Nevertheless it can b e recommended for surgical treatment of maxillary tumours without spread in the cheek muscles and upper lip, even those which need total maxillectomy.