Degloved Face: Causes, Treatment, and Prevention

A degloved face is a type of severe injury that occurs when the skin and soft tissues of the face are torn away from the underlying structures, such as bones, muscles, nerves, and blood vessels. This can result in significant blood loss, infection, disfigurement, and functional impairment of the facial features.

A degloved face can be caused by various factors, such as traumatic events, sports injuries, or industrial accidents. The treatment for a degloved face depends on the extent and location of the injury and may involve emergency medical care, cleaning and debridement, reconstructive surgery, and maxillofacial surgery.

The prevention of a degloved face involves taking safety measures in the workplace, using proper safety equipment, avoiding risky activities, and seeking prompt treatment for any injuries.

So, let’s get to the details, and know more about degloved face.

Types of Degloving Injuries

There are two main types of degloving injuries: open and closed.

Open Degloving

This occurs when the skin and soft tissues are completely detached from the underlying structures, exposing the bones, muscles, nerves, and blood vessels. This type of injury is more common and more visible, and often requires immediate surgical intervention to reattach the skin and soft tissues or to perform skin grafts or flaps.

Closed Degloving

This occurs when the skin and soft tissues are partially or fully separated from the underlying structures, but remain attached at some points, creating a cavity or pocket between the layers. This type of injury is less common and less visible but can be more dangerous, as it can lead to infection, necrosis, or hematoma. This type of injury may require imaging tests, such as X-rays or CT scans, to diagnose and evaluate the extent of the damage, and may require surgical drainage, debridement, or closure of the cavity or pocket.

Causes of Degloving Injuries

A degloved face can be caused by various factors, such as:

Traumatic Events

This includes car accidents, motorcycle accidents, falls, animal bites, or assaults. These events can cause high-impact or high-velocity forces that can tear the skin and soft tissues of the face from the underlying structures.

Sports Injuries

This includes skiing, snowboarding, cycling, or rugby. These sports can involve high-speed collisions, falls, or contact with sharp objects or surfaces that can damage the skin and soft tissues of the face.

Industrial Accidents

This includes exposure to machinery, equipment, or chemicals. These accidents can involve entrapment, crushing, or burning of the skin and soft tissues of the face by industrial materials or processes.

Treatment for Degloved Face Injuries

The treatment for a degloved face depends on the extent and location of the injury, and may involve the following steps:

Emergency Medical Care

The process includes stopping the bleeding, administering pain relief, antibiotics, and tetanus shots, and stabilizing the vital signs and the airway. This is the first and most important step to prevent further complications, such as shock, infection, or death.

Cleaning and Debridement

This involves removing any dirt, debris, or dead tissue from the wound, and irrigating it with saline or antiseptic solutions. This is done to prevent infection and to prepare the wound for further treatment.

Reconstructive Surgery

This involves repairing or restoring the skin and soft tissues of the face, as well as the underlying structures, such as bones, muscles, nerves, and blood vessels. This may require multiple procedures, such as skin grafts, flaps, microsurgery, or tissue expansion, depending on the size and location of the defect. The goal of reconstructive surgery is to restore the appearance and function of the face as much as possible and to minimize scarring and deformity.

Maxillofacial Surgery

This involves repairing or restoring the jaw, teeth, and oral structures that may be affected by the injury. This may require dental implants, orthodontics, or prosthetics, depending on the extent of the damage. The goal of maxillofacial surgery is to restore the bite and speech of the patient and to improve the aesthetic and psychological outcomes.

Preventing Degloving Injuries

A degloved face is a serious and life-threatening injury that can have long-term physical, emotional, and social consequences.

Therefore, it is important to prevent it from happening in the first place, by taking the following measures:

Safety Measures in the Workplace

Following the safety rules and regulations includes wearing protective clothing and equipment, and avoiding contact with hazardous materials or machinery. This can reduce the risk of industrial accidents that can cause a degloved face.

Proper Use of Safety Equipment

Use helmets, goggles, gloves, and masks, when engaging in sports or recreational activities that can involve high-speed collisions, falls, or contact with sharp objects or surfaces. This can protect the face from potential injuries that can lead to a degloved face.

Avoiding Risky Activities

Driving under the influence of alcohol or drugs, speeding, or texting while driving, can increase the likelihood of traumatic events that can cause a degloved face.

Regular Check-ups for Underlying Medical Conditions

Diabetes, hypertension, or blood disorders, can affect the healing and recovery of the wound, and increase the risk of infection or complications. Regular check-ups can help to manage the health and wellness of the patient and prevent any adverse outcomes.

Finally, Seek Prompt Treatment

Cuts, bruises, or burns, can affect the skin and soft tissues of the face and may lead to a degloved face if left untreated. Prompt treatment can help to prevent infection, inflammation, or worsening of the wound, and to facilitate the healing process. So, do not neglect the situation and immediately consult with a medical professional.

Wilson
Wilson