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Sublabial rhinotomy with septal transfixion as an approach to the nasal fossa, paranasal sinuses and nasopharynx

  • B. J. G. Bingham (a1) and M. V. Griffiths (a2)


A sublabial incision with septal transfixion and mid-face degloving is described as an approach to the nasal cavity, paranasal sinuses and nasopharynx. A brief history of the development of the technique is given. The results of nine cases are presented. These cases have had good tumour clearance, excellent cosmetic results and the minimum of complications. The sublabial approach is most useful in children and women, particularly those with intermediate grade tumours. The advantages of the approach compared to the lateral rhinotomy incision include: superior access to the floor of the nose, inferior turbinate and anterior nasal septum; access to both sides of the nasal septum and the absence of a facial scar. The limitations of the sublabial technique are the poor access to frontal sinus and the cribriform plate.


Corresponding author

B. J. Bingham, Senior Registrar, Department of Otolaryngology, Ninewells Teaching Hospital, Ninewells Avenue, Dundee DD1 9SY


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Allen, G. W. and Siegel, G. J. (1981) The sublabial approach for extensive nasal and sinus resection. Laryngoscope, 91: 16351639.
Anand, V. J. and Conley, J. J. (1983) Sublabial surgical approach to the nasal cavity and paranasal sinuses. Laryngoscope, 93: 14831484.
Conley, J. and Price, J. C. (1979) Sublabial approach to the nasal cavity and nasopharyngeal cavities and. American Journal of Surgery, 138: 615618.
Cushing, H. (1912) The pituitary body and its disorders. J. B. Lippincott Company Philadelphia, Pa.
Denker, A. and Kahler, O. (1926) Handbuch der Hals-Nasen-Ohren-Heikunde Springer: Berlin.
Doyle, P. J., Riding, K. and Kahn, K. (1977) Management of nasopharyngeal angiofibroma. Journal of Otolaryngology, 6: 224232.
Halstead, A. E. (1910) Remarks on the operative treatment of tumours of the hypophysis: Report of two cases operated on by an oro-nasal method. Surgery, Gynecology and Obstetrics, 10: 494502.
Maniglia, A. J. (1986) Indications and techniques of midfacial degloving. Archives of Otolaryngology, 112: 750752.
Mertz, J. S., Pearson, B. W. and Kern, E. B. (1983) Lateral rhinotomy. Indications, technique, and review of 226 patients. Archives of Otolaryngology, 109: 235239.
Paavolainen, M. and Malmberg, H. (1986) Sublabial approach to the nasal and paranasal cavities using nasal pyramid osteotomy and septal transection. Laryngoscope, 96: 106108.
Pope, T. H. Jr. (1978) Surgical approach to tumours of the nasal cavity. Laryngoscope, 88: 17431748.

Sublabial rhinotomy with septal transfixion as an approach to the nasal fossa, paranasal sinuses and nasopharynx

  • B. J. G. Bingham (a1) and M. V. Griffiths (a2)


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