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Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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Related Experiment Video

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Tissue Characterization after a New Disaggregation Method for Skin Micro-Grafts Generation
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Long-term experiences by using modified facial degloving technique

Ágnes Szalenko-Tőkés1, Zsolt Bella1, Zoltán Tóbiás1

  • 11 Szegedi Tudományegyetem, Általános Orvostudományi Kar, Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Szeged, Tisza Lajos krt. 111., 6725.

Orvosi Hetilap
|March 8, 2021
PubMed
Summary

This study introduces a modified facial degloving technique for removing maxillo-ethmoidal tumors, offering a scarless alternative to traditional methods. The modified approach ensures safe tumor resection with improved cosmetic outcomes and fewer complications.

Keywords:
arcüregi és orrmelléküregi tumorokhegmentes megközelítésmaxillo-ethmoidal tumorsmodified facial deglovingmódosított „facial degloving”osteoplastic flaposzteoplasztikus lebenyscarless approach

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Area of Science:

  • Otorhinolaryngology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Maxillo-ethmoidal tumors are primarily treated with surgical resection.
  • Traditional external approaches, like the Weber-Fergusson incision, result in significant facial scarring and deformities.
  • The facial degloving approach, developed in the 1970s, offers a scarless alternative with various modifications.

Purpose of the Study:

  • To evaluate a modified facial degloving technique for the surgical resection of maxillo-ethmoidal tumors.
  • To assess the safety, efficacy, and cosmetic outcomes of the modified technique compared to traditional methods.

Main Methods:

  • A modified facial degloving technique utilizing an osteoplastic flap from a sublabial approach was employed.
  • The study included 34 patients operated between 2012 and 2019.
  • Postoperative assessments included acoustic rhinometry and photographic documentation of facial mimicry.

Main Results:

  • The modified technique provided wide surgical access to the nasal cavity, paranasal sinuses, and anterior skull base.
  • No significant narrowing of the nasal cavity or impairment of facial movements was observed postoperatively.
  • The modified approach resulted in shorter hospitalization and fewer complications compared to other facial degloving modifications.

Conclusions:

  • The modified facial degloving technique is a safe and effective method for resecting maxillo-ethmoidal tumors.
  • This technique offers excellent cosmetic results and preserves nasal function and facial symmetry.
  • It can be combined with endoscopic procedures and converted to an open approach if necessary.