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

Published online by Cambridge University Press:  29 June 2007

B. J. G. Bingham  and
M. V. Griffiths
B. J. G. Bingham*
Affiliation:
Senior Registrar, Department of Otolaryngology, Ninewells Teaching Hospital, Ninewells Avenue, Dundee DD1 9SY
M. V. Griffiths
Affiliation:
Consultant, Department of Otolaryngology, Bristol Royal Infirmary, Bristol BS2 8HW
*
B. J. Bingham, Senior Registrar, Department of Otolaryngology, Ninewells Teaching Hospital, Ninewells Avenue, Dundee DD1 9SY
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Abstract

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.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 7 , July 1989 , pp. 661 - 663
Copyright
Copyright © JLO (1984) Limited 1989

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