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Int J Oral Maxillofac Surg ; 41(3): 344-9, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22154526

ABSTRACT

By definition, degloving is skin and subcutaneous tissue detachment, most often affecting the limbs and extremities and occasionally the scalp. Degloving generally stems from high-energy trauma, but can also be intentional, such as in the case of planned surgical access in the anterior region of the mandible in oral-maxillofacial surgery. This paper describes an extreme case of complete traumatic maxillofacial degloving that caused partial avulsion of the soft tissues and maxilla. This is an extremely rare condition that has not previously been described in the literature, as the patient survived despite the risk of imminent death. This case report addresses the decisions made regarding the prevention of necrosis and infection that guided the emergency care and subsequent elective steps.


Subject(s)
Facial Bones/injuries , Facial Injuries/surgery , Maxillofacial Injuries/surgery , Skull Fractures/surgery , Soft Tissue Injuries/surgery , Adult , Facial Muscles/injuries , Female , Frontal Sinus/injuries , Humans , Maxillary Fractures/surgery , Nose/injuries , Patient Care Planning , Plastic Surgery Procedures/methods , Zygomatic Fractures/surgery
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