Surgery 2026

Traditional approaches to the midface include the Weber-Fergusson incision and the lateral rhinology approach which leave a visible scar on the face. The bifacial delving approach is used to expose tumours of the maxilla, nasopharynx, orbits and central compartment of the anterior and middle cranial fossae. Objectives: To assess the versatility and accessibility to the midfacial skeleton using midface degloving approach Case presentation: We present 4 cases operated with the midface degloving approach:

1) benign maxillary tumor

2) maxillary cyst

3) quadrangular LeFort1 osteotomy

4) panfacial trauma.

The patients were orally intubated (to allow for endonasal incisions). This approach entails a maxillary vestibular incision and three intranasal incisions (bilateral intercartilaginous, complete transfixion and bilateral piriform aperture incisions). Results: This approach had favourable outcomes in terms of accessibility and esthetics. Conclusion: This approach gives excellent exposure to entire midface from the root of zygoma from one side to the other including the infraorbital rims, body of zygoma, anterior maxilla, buttress and the pyriform rim. The advantage of this approach is that all incisions are placed within the intraoral and intranasal regions without any scars on the face.

DR.BALAMURUGAN.R is an Oral and Maxillofacial Surgeon and Oral Implantology's, initiated his professional career in the field of dentistry and continued his specialization in the path of Oral and Maxillofacial Surgery (India) and Fellowship in Oral Implantology (International Congress of Oral Implantologists ICOI, USA). His field of expertise in basic dental treatments, dent-alveolar surgeries, maxillofacial trauma, dental implants, medical emergencies, pathologies associated with maxillofacial region, TMJ related disorders. He also encourages and motivates the authors to explore with new innovative ideas in the field of research. He holds various International and National peer reviewed paper publications that adds credit to his career. He is associated with International and National journals as editor and reviewer board member. He has been awarded as “Best Editor 2021” in the Research Awards 2022 by Innovative Publication for International Dental Journal of Student’s Research (IDJSR). He was presented with the “Best Achievers Award” titled “Excellence Award As An Oral Surgeon and Oral Implantology's” by Magic Book of Record in 2022. Currently, he is a researcher and walks in the right path of motivation by providing a heart of service for the patients as an Oral and Maxillofacial Surgeon and Oral Implantology's in RYA Cosmo Foundation Hospital, Chennai, India.