An impressive case of complete traumatic maxillofacial degloving |
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| Authors: | Catunda Ivson Souza de Medeiros Marcelo Farias Santos Lucas Alexandre de Morais Melo Auremir Rocha |
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| Affiliation: | 1. Division of Oral and Maxillofacial Surgery, Restauração Hospital, Recife, PE, Brazil;2. São Leopoldo Mandic University, Campinas, SP, Brazil;3. Faculdade de Odontologia de Pernambuco (FOP/UPE), Camaragibe, PE, Brazil;1. Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará (UFC), Sobral, CE, Brazil;2. Faculdade de Odontologia de Bauru, Universidade de São Paulo (FOB-USP), São Paulo, SP, Brazil;1. Doctorate of Dental Medicine and Masters of Public Health Student, Nova Southeastern University College of Dental Medicine, Davie, FL;2. Oral Maxillofacial Surgery Resident PGY 3, Nova Southeastern University College of Dental Medicine, Davie, FL; Oral Maxillofacial Surgery, Broward Health Medical Center, Fort Lauderdale, FL;3. Associate Professor, Residency Program Director, and Director of Research, Nova Southeastern University College of Dental Medicine, Davie, FL; Oral Maxillofacial Surgery, Broward Health Medical Center, Fort Lauderdale, FL; Oral Maxillofacial Surgery, Baptist Health South Florida, Miami, FL; Oral Maxillofacial Surgery, Memorial Regional Hospital, Hollywood, FL;1. MIPS EA 2332, University of Haute-Alsace, Mulhouse, France;2. Faculty of Information Technology, Monash University, Melbourne, Australia;3. INSERM MediCIS, Unit U1099 LTSI, University of Rennes 1, Rennes, France;4. Department of Neurosurgery, Pontchaillou University Hospital, Rennes, France;1. Division of Plastic and Reconstructive Surgery, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, USA;2. Division of Transplant Surgery, University of Maryland Medical Center, Baltimore, MD, USA;3. Department of Plastic and Reconstructive Surgery, Reconstructive Transplantation Program, Johns Hopkins University School of Medicine, Baltimore, MD, USA;4. Department of Plastic Surgery, Institute of Reconstructive Plastic Surgery, NYU Langone Medical Center, New York, NY, USA |
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| 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. |
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