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Arch Facial Plast Surg. 2004;6:136.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this issue of the ARCHIVES, Cultrara et al¹ demonstrate the usefulness of the midfacial degloving (MFD) approach for the reduction of naso-orbital-ethmoid (NOE) and midface fractures. As they state, the "open-sky" approach provides excellent exposure of NOE fractures; however, it involves the use of facial incisions which, in the region of the medial canthal ligaments, may lead to scar contracture and webbing. Because the mechanism of trauma resulting in such fractures is a crushing type of injury, the "open sky" approach may be more prone to scar contracture and webbing than the standard Lynch incision used for external ethmoidectomy. The authors describe in excellent detail the steps required to successfully expose the midfacial skeleton via the MFD approach and state that the complications of the MFD approach can include nasal obstruction, nasal deformity, and temporary infraorbital nerve anesthesia. In addition to these complications, nasal vestibular stenosis can occur as . . . [Full Text of this Article]

Lawrence J. Marentette, MD
Division of Facial and Plastic Reconstructive Surgery
University of Michigan Hospital
1500 E Medical Center Dr, TC 1904
Ann Arbor, MI 48109-0312

RELATED ARTICLE

Midfacial Degloving Approach for Repair of Naso-Orbital-Ethmoid and Midfacial Fractures
Anthony Cultrara, Jon B. Turk, and Gady Har-El
Arch Facial Plast Surg. 2004;6(2):133-135.
ABSTRACT | FULL TEXT