Degloved face injuries are serious medical conditions that can have life-changing effects on the person who suffers from them.
A degloved face happens when severe trauma or accidents forcefully remove the skin, soft tissues, and occasionally even the underlying bones from the underlying facial structures. High-speed auto accidents, workplace accidents, and accidents involving sports are all common places where this kind of injury occurs. The phrase “degloved” describes a state in which the hand is exposed and bare, much like when a glove is peeled off.
TYPES OF DEGLOVING:
When the skin and supporting tissues detach from the underlying components, such as bones and muscles, it results in a serious type of damage known as degloving. A trauma or injury that pushes the skin away from the deeper tissues is usually what causes this separation to occur. Degloving injuries typically come in one of three forms:
OPEN DEGLOVING :
The muscles, bones, and other structures are made visible when the skin is entirely pulled away from the underlying tissues in an open degloving injury. This kind of degloving damage is typically linked to high-energy trauma, like that from industrial accidents or car accidents.
When the skin and underlying tissues split without leaving an open incision, it results in a closed degloving injury, also known as a “closed degloving without skin breach.” Although the skin may appear normal, the layers beneath are significantly separated. High-impact accidents or crushing injuries can also result in closed degloving injuries.
MANGLED EXTREMITY WITH DEGLOVING:
Degloving is one of the severe soft tissue injuries that can result from this sort of injury, along with major bone and blood vessel damage to an extremity (such as the arms or legs). The aftermath of extreme trauma, such as explosions or accidents involving large machinery, frequently includes mangled extremities with degloving lesions.
The hands, feet, legs, and arms are the body parts that experience degloving the most.
The skin and soft tissue of a bodily part that has been severely dragged away after becoming caught on something peels back to reveal a significant amount of flesh. It usually occurs in motor vehicle accidents, situations involving large machinery, such as conveyor belts, or when rings are forcibly removed off fingers.
Your foot may become gloveless in a number of ways if a tire rolls over it during a car accident, for instance. The intense tire pressure in combination with movement, such as moving your foot out from under the wheel or having the tire drag over your foot, may cause the skin and soft tissue to peel off, leaving you with a foot that is no longer gloved.
The major causes of degloving injuries are-
- Motor Vehicle collisions- High-speed collisions, especially when there aren’t many safety mechanisms on the car, can cause serious facial damage and degloved face injuries.
- Workplace accidents- Workers in several industries may sustain degloving injuries as a result of industrial accidents involving large machinery and equipment.
- Sports injuries- Degloving can occur as a result of facial injuries from impact activities like football or auto racing.
- Falls- This kind of face injury can also be brought on by a serious fall from a considerable height or down the steps.
DIAGNOSIS OF DEGLOVING INJURIES
It can be challenging to identify the full extent of a degloving injury just by looking at the skin that has been removed from its protective covering. When employing arbitrary criteria like bleeding, skin colour, skin temperature, and pressure reaction, determining skin viability might be challenging as well.
Considering that muscle and bone will be visible where the skin has been torn off, open degloving injuries are simpler to detect. It may not be immediately apparent that the top layer of skin has separated from deeper layers of tissue, making closed degloving lesions more difficult to spot. Bruising, discomfort, and swelling in the affected area are symptoms to watch for.
There are many different types of treatments available because there are so many different types of degloving injuries that can occur. Which one you employ will depend on how serious your wound is. In most cases, the course of treatment is quite intricate, necessitating rapid decision-making on the part of medical specialists. Yet all of the aforementioned choices follow the same fundamental procedures.
Skin grafts or skin flaps are used to treat less serious wounds, but reconstructive surgery or amputation may be required for more severe wounds.
Treatment for a degloving injury should begin as soon as possible. To preserve as much skin as possible during therapy is the top priority. In this case, exposed flesh is covered with skin from another region of the body or skin from the degloved area using a skin graft or skin flap.
Your limb or life could be in danger if excessive blood is lost or if the injury is very deep. This cannot be resolved with just a skin graft. Your injured body part may be rebuilt through reconstructive surgery, but if your injury poses a serious risk to your life, amputation may be an option.
SKIN GRAFT AND SKIN FLAP
Skin flaps and skin grafts are comparable surgical instruments used for reconstructive procedures. Reconstructive operations treat degloving injuries by covering the wound with new skin in an effort to restore as much of the afflicted area’s appearance as feasible.
A skin graft and a skin flap vary primarily in that a skin graft is applied to the wound without a blood supply, whereas a skin flap is attached with a blood supply. While both are viable choices for treatment, skin flaps have a higher likelihood of continuing to be effective since new skin requires a sufficient blood supply to survive.
LONG-TERM EFFECTS OF DEGLOVING
Depending on how severe your injury was, if you have a degloving injury, you may experience a variety of long-term repercussions. Your likelihood of having a scar or other remnant of the incision is almost certain. It’s possible that you’ll need a prolonged recovery period, go through treatment and rehabilitation, require ongoing medical monitoring, or lose the ability to use a former bodily part.
Adopting safety precautions and practices is the main way to prevent degloved face injuries, especially in high-risk environments:
- Wear proper safety equipment- Wearing the proper safety equipment can dramatically lower the chance of facial injuries, whether a person is working in an industrial environment or engaging in sports.
- Follow road safety rules- Following traffic laws, utilizing the proper child safety seats, and wearing seat belts will lessen the possibility of suffering serious facial injuries in car accidents.
- Implement workplace safety protocols- Employers should implement stringent safety procedures and give personnel who use heavy equipment or operate in dangerous locations proper training.
Degloved face wounds are serious and may even be fatal. Raising awareness and improving safety depend on people being aware of the causes, available treatments, and prevention methods. We may lower the occurrence of degloved face injuries and safeguard ourselves and others from this life-threatening condition by adhering to safety regulations, donning protective gear, and exercising caution in high-risk situations