Midfacial degloving approach An alternative approach, versatile, and is recommended for excision of total degloving Midfacial Inverted papilloma.

This method includes the removal of soft tissue from the center of the face using sublabial incision. Four types of incisions required in midfacial degloving: . intercartilaginous bilateral incision, !. septocolumellar complete stabbing incision, ". sublabial incision of bilateral maxillary tuberosity to tuberosity, and #. bilateral pyriform aperture incisions extending into the vestibule. This incision to facilitate exposure apertura pyriformis and lateral nasal $all. The advantage of this approach is there is no external scarring, good visibility during surgery, and bilateral exposures simultaneously. In addition, inverted papilloma recurrence rate is removed using a midfacial degloving procedure is the same as the lateral and medial maxillectomy rhinotomy. As rhinotomy lateral, can be combined $ith a midfacial degloving approach for treating craniofacial s%ull base lesions or anterior cranial fossa. The main limitation of the approach is the midfacial degloving $hen needed surgery for tumors larger cells that attac% supraorbital ethmoid or frontal sinus, $hich requires a separate incision. &eptal translocation through an incision sublabial is another approach to share the advantages of midfacial degloving, $hich provides a $ide field of vie$ during the operation and the result is no external scarring.