目的 :研究一种手术治疗侵及翼腭窝鼻咽纤维血管瘤的新术式—面中部掀翻摘除术。方法 :总结通过面中部掀翻 ,经鼻腔、上颌窦摘除侵及翼腭窝鼻咽纤维血管瘤 5例的临床经验。结果 :5例患者切口均一期愈合 ,无面部畸形 ,吞咽、发声功能正常。 1例术后出现面颊部血肿 ,1例术后发现一侧蝶窦有肿瘤残留。结论 :以术式面部无切口 ,术中视野广阔 ,出血少 ,可在直视下整体摘除肿瘤。术后患者恢复迅速 ,面部无手术瘢痕 ,无吞咽、说话等功能障碍 Objective: To study a surgical treatment of invasion of pterygopalatine fossa nasopharyngeal hemangiomas new technique - midface lift surgery. Methods: To summarize the clinical experience of 5 cases of nasopharyngeal fibro-hemangioma in the pterygopalatine fossa by overturning midface, nasal cavity and maxillary sinus. Results: All patients underwent incision healing in one time without facial deformity, swallowing and vocal function were normal. One case had cheek hematoma after operation, and one case had sphenoid residual tumor after operation. Conclusion: The surgical facial incision, intraoperative visual field, less bleeding, the overall removal of the tumor under direct vision. Postoperative patients recovered rapidly, no facial scars, no swallowing, speaking dysfunction