{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T09:24:13Z","timestamp":1778837053520,"version":"3.51.4"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":2828,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1999,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The midfacial degloving approach has been available for twenty five years and is slowly increasing in popularity in the management of extensive benign lesions of the sinonasal region, for selected malignancy in this area and to afford access to the nasopharynx and infra-temporal fossa. The advantages, applications and low complication rate are presented in a cohort of 86 patients, ranging from three to 79 years of age with a mean follow-up of 5.5 years. Seventy-seven per cent of the group had benign pathology of which juvenile angiofibroma was the commonest (40 cases). The 20 cases of malignant disease were a heterogeneous group histopathologically including adenoid cystic carcinoma (four cases), malignant schwannoma (two cases), rhabdomyosarcoma (two cases) and squamous cell carcinoma (two cases). Five underwent bilateral radical maxillectomies combined with orbital clearance in one patient. Complications include oro-antral fistula (three cases) and epiphora (three cases) all of which were successfully treated.<\/jats:p>","DOI":"10.1017\/s0022215100145505","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:11:53Z","timestamp":1196417513000},"page":"885-887","source":"Crossref","is-referenced-by-count":54,"title":["The role of midfacial degloving in modern rhinological practice"],"prefix":"10.1017","volume":"113","author":[{"given":"David J.","family":"Howard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie J.","family":"Lund","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100145505_ref025","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197209)30:3<668::AID-CNCR2820300315>3.0.CO;2-B"},{"key":"S0022215100145505_ref014","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199803)20:2<97::AID-HED1>3.0.CO;2-Y"},{"key":"S0022215100145505_ref028","first-page":"385","volume":"20","author":"Wigand","year":"1991","journal-title":"Journal of Otolaryngology"},{"key":"S0022215100145505_ref027","doi-asserted-by":"publisher","DOI":"10.1177\/000348948609500301"},{"key":"S0022215100145505_ref021","volume-title":"Le cancer due nez","author":"Portmann","year":"1927"},{"key":"S0022215100145505_ref004","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198001000-00006"},{"key":"S0022215100145505_ref022","first-page":"174","article-title":"The midfacial degloving approach to the central skull-base","volume":"65","author":"Price","year":"1986","journal-title":"Ear Nose Throat Journal"},{"key":"S0022215100145505_ref012","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100136369"},{"key":"S0022215100145505_ref013","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199902000-00007"},{"key":"S0022215100145505_ref005","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197401000-00026"},{"key":"S0022215100145505_ref007","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1970.04310050027004"},{"key":"S0022215100145505_ref026","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880130306"},{"key":"S0022215100145505_ref020","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-997415"},{"key":"S0022215100145505_ref023","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890140012004"},{"key":"S0022215100145505_ref001","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198110000-00008"},{"key":"S0022215100145505_ref002","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1288\/00005537-198311000-00018","article-title":"Sublabial surgical approach to the nasal cavity and paranasal sinuses","volume":"93","author":"Anand","year":"1983","journal-title":"Laryngoscope"},{"key":"S0022215100145505_ref024","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198412000-00013"},{"key":"S0022215100145505_ref003","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199501000-00016"},{"key":"S0022215100145505_ref006","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-195010000-00005"},{"key":"S0022215100145505_ref018","doi-asserted-by":"publisher","DOI":"10.3950\/jibiinkoka.96.1447"},{"key":"S0022215100145505_ref010","first-page":"457","article-title":"Facial degloving as a versatile approach to paranasal sinus tumours","volume":"48","author":"Esteban","year":"1997","journal-title":"Acta-Otorrinolaringologica Espanola"},{"key":"S0022215100145505_ref017","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1016\/S0030-6665(20)30439-4","article-title":"Midfacial degloving for the management of nasal, sinus, and skull-base neoplasms","volume":"28","author":"Maniglia","year":"1995","journal-title":"Otolaryngologic Clinics of North America"},{"key":"S0022215100145505_ref009","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199203000-00001"},{"key":"S0022215100145505_ref019","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-997379"},{"key":"S0022215100145505_ref016","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1986.03780070062013"},{"key":"S0022215100145505_ref015","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(94)01139-O"},{"key":"S0022215100145505_ref011","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100121759"},{"key":"S0022215100145505_ref008","first-page":"20","article-title":"Ein neuer weg fur die operation der malignent nasen tumoren","volume":"20","author":"Denker","year":"1906","journal-title":"Munscher Medizinische Wochenschrift"}],"container-title":["The Journal of Laryngology &amp; 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