[Midfacial degloving].

Midfacial degloving is an extended sublabial rhinotomy. It permits good bilateral access to the deeper parts of the midfacial region, particularly the nasal and paranasal cavities, the base of the skull, and the clivus. The incision leaves no visible scars. The access is suitable for large benign tumors such as nasopharyngeal fibromas or inverted papillomas, but can also be used for malignant tumors. The access can be enlarged at any time by supplementary incisions to meet the demands of tumor surgery. We describe the operative technique for midfacial degloving and present a case to illustrate the applications of this technique.