Versatility of midface degloving approach in oral and maxillofacial surgery

Title : Versatility of midface degloving approach in oral and maxillofacial surgery

Abstract:

Introduction: Traditional approaches to the midface include the Weber-Fergusson incision and the lateral rhinotomy approach which leave a visible scar on the face. The midfacial degloving approach is used to expose tumors of the maxilla, nasopharynx, orbits and central compartment of the anterior and middle cranial fossae.

Objectives: To assess the versatility and accessibility to the midfacial skeleton using midface degloving approach

Case presentation: We present 4 cases operated with the midface degloving approach: 1) benign maxillary tumor 2) maxillary cyst 3) quadrangular LeFort1 osteotomy 4) panfacial trauma. The patients were orally intubated (to allow for endonasal incisions). This approach entails a maxillary vestibular incision and three intranasal incisions (bilateral intercartilaginous, complete transfixion and bilateral piriform aperture incisions).

Results: This approach had favourable outcomes in terms of accessibility and esthetics.

Conclusion: This approach gives excellent exposure to entire midface from the root of zygoma from one side to the other including the infraorbital rims, body of zygoma, anterior maxilla, buttress and the pyriform rim. The advantage of this approach is that all incisions are placed within the intraoral and intranasal regions without any scars on the face.

Biography:

Dr Balamurugan R is an Oral and Maxillofacial Surgeon and Oral Implantologist from Chennai, India. He initiated his professional career in the field of dentistry and continued his specialisation in the path of Oral and Maxillofacial Surgery (India) and Fellowship in Oral Implantology (International Congress of Oral Implantologists ICOI, USA). His field of expertise in basic dental treatments, dento-alveolar surgeries, maxillofacial trauma, dental implants, medical emergencies, pathologies associated with maxillofacial region, TMJ related disorders. He was awarded as the best PEER REVIEWER by Star Dental Centre Pvt Ltd, India for his sincerity and dedication towards work by adhering to the timelines with a prompt reviewing process. He holds various International and National peer reviewed paper publication that adds credit to his career. He is associated with International and National journals as editor and reviewer board member and he has also been invited as a keynote speaker globally. He also encourages and motivates the authors to explore with new innovative ideas in the field of research. Currently, he is a researcher and walks in the right path of motivation by providing a heart of service for the patients as an Oral and Maxillofacial Surgeon in RYA Cosmo Foundation, Chennai, India.