The midfacial degloving procedure for nasal, sinus, and nasopharyngeal tumors

The midfacial degloving approach is more technically involved than a latera l rhinotomy and requires a basic level of proficiency and understanding of closed rhinoplasty incisions and anatomy of the nose, paranasal sinuses, an d skull base structures. Current applications of the midfacial degloving pr ocedure have allowed expansion of indications for this technique through th e use of complementary endoscopic and subcranial approaches, permitting the exposure and removal of extensive skull base lesions without disfiguring f acial incisions. Fundamental in these approaches is the basic midfacial deg loving exposure, which is discussed in this article, along with the applica tions for treatment of skull base lesions.