J Korean Assoc Oral Maxillofac Surg.  2022 Jun;48(3):174-177. 10.5125/jkaoms.2022.48.3.174.

Complex facial degloving injury: a case report of a complication and its management

• Sarkar DF
• Dutta D

• KMID: 2531054
• DOI: http://doi.org/10.5125/jkaoms.2022.48.3.174

Abstract

Facial degloving injuries are due to separation between the skin and subcutaneous tissues from the underlying muscles, bones, and fascia. These injuries often create a reconstructive challenge for surgeons especially when there are associated complications like wound infection or necrosis of the avulsed flap. This case report presents management of a case of facial degloving injury with full thickness necrosis of the avulsed flap. The authors concluded that treatment of such complex wounds requires a multi-disciplinary approach along with proper planning and staging of the surgical procedures for optimum aesthetic and functional outcomes.

Keyword

Degloving injury; Skin grafting; Case reports; Soft tissue injury; Mandibular fractures

Figure

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  Fig. 1 Degloved facial flap involving the right cheek, oral commissure, lower eyelid, and temporal scalp.

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  Fig. 2 Avulsed facial flap showing signs of necrosis.

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  Fig. 3 Full thickness loss of the distal half of the avulsed flap.

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  Fig. 4 Mandibular ramus fracture reduced and fixed with 2.0-mm titanium miniplate and screws.

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  Fig. 5 Reconstruction of the soft tissue defect with a split-thickness skin graft.

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  Fig. 6 Postoperative photograph after one year.

Reference

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