Surgical Technique.

Lateral approach rhinotomy "Lateral rhinotomy" begins by making an incision between commissura palpebrarum medial arch and dorsum nasi. This procedure begins by making an incision below the medial end of the eyebrow, and then extend the inferior incision between the medial and commissura palpebrarum nasal and flow along the dorsum of the nose-cheek adjacent to the ala nasi. Then, incision is directed up into the nasal floor. The thick skin incision to the periosteum. An incision tissue. After the skin incision is made, lift the periosteum to expose the medial wall of the orbit, the anterior wall of the maxillary foramen infraorbita up, and the apertura pyriformis. #asal bone can be pulled back to the medial after medial and lateral osteotomy performed. To reach the stage en bloc resection, osteotomy performed through the inferior aspect of the medial and anterior maxillary wall, then through the medial wall of the orbit lower than frontoethmoid sutures, and through the lower edge of the orbit and orbital floor. $y connecting this osteotomy, specimens can be remo"ed by using scissors cur"ed mayo, which can be used to separate the specimen from the posterior wall of the maxillary sinus. %or medial maxillectomy, including the lacrimal fossa region, infraorbital edge, and resessus prelacrimal of the maxillary sinus, di"ide the lateral nasal wall along the nasal floor. Then cut the under side of the medial turbinate attaches to the top, and remo"e the whole entire lateral wall after it is released from the edge infraorbita. To a"oid epiphora, which is a common postoperati"e complication of this procedure, always included dacryocystorhinostomy. &acryocystorhinostomy can be done by catheteri'ation of the lacrimal duct by using a silicon tube indweeling ()uibor tube* or by making a "ertical incision sakkus lacrimal and sew the edges to the surrounding tissue. +ommissura palpebrarum medial typically remo"ed from its insertion and must be repaired to pre"ent unsightly telecanthus. The position of the high tendon (attached to the periosteum* indicates that it is a normal position that occurs after the close of the periosteum -or !-plasty can be incorporated into the medial region palpebrarum commissura to help pre"ent the occurrence of postoperati"e webbing of soft