The combined subcranial-midfacial degloving approach

The purpose of this article is to describe our experience with a combined one-stage procedure involving the extended subcranial approach and the midface degloving technique. This combination allows not only access to midline and paramedian structures of the anterior, middle, and posterior planes of the anterior fossa skull base, but also provides wide exposure of the inferior aspects of lesions extending into the inferior nasal cavity, the inferior maxillary walls and maxillary antrum. We have operated on 4 patients using this combined approach. All patients recovered to their preoperative functional level. After an average follow-up period of 18 months, these patients are well with no evidence of disease.