Facial degloving as a versatile approach to paranasal sinus tumors

: Sixteen patients with a variety of lesions of the paranasal sinuses were managed surgically using the midfacial degloving approach. Complete removal of the lesion was achieved in all patients. The most common complication related to midfacial degloving was temporary infraorbital anesthesia or hypoesthesia. Two patients developed temporary asymptomatic nasal valve stenosis. Midfacial degloving has important advantages over other procedures, especially in cases requiring bilateral surgery or when it is important to avoid midfacial incisions and scars. It can also be extended to complete cervical-facial degloving for mandibular or mouth lesions, or if neck dissection it needed. For inverted papillomas, midfacial degloving is currently our procedure of choice for block medial maxillectomy and ethmoidectomy.