Degloving is a serious injury in which the top layers of your skin and tissue pull away from the underlying muscle, connective tissue, or bone. Degloving injuries are frequently fatal. Antibiotics may be required if you have Degloving injuries.
What is Degloving?
Degloving, commonly referred to as Avulsions, are potentially lethal injuries that arise from the separation of your skin and surrounding tissue from the underlying bone, muscle, or connective tissue. Though the legs are most affected, it can affect any part of the body. Deadly wounds almost always result in death. This is caused by significant loss of blood and tissue.
What are the causes of Degloved face injuries?
Degloved face injuries are frequently related with industrial or farm equipment accidents, although there are various other potential causes, including:
- Motorcycle accidents
- Car accidents
- Sports mishaps
- Animal bites
- Falls from heights
- Construction accidents
2 types of degloved face injuries
- Open Degloving injury
The skin and tissue are pulled away, exposing the muscles and bones beneath, however the skin may still be partly connected and hanging as a flap around the incision in certain situations.
The legs, torso, scalp, and face are the most commonly affected locations.
Typically, they are caused by:
- Traffic accidents
- Accidents with industrial or farm equipment
- Falls from heights
- Sports injuries
- Animal bites
Open degloved face injuries most frequently occur in the following areas, according to Trusted Source:
They can, however, affect any region of the body, including the fingers, arms, and feet.
Injuries from open Degloving are significant. They require immediate medical attention to avoid infection and limit blood loss.
- Closed Degloving injury
The top layer of skin is still intact, despite being detached from the tissue underneath it.
A force that splits the outermost layer of skin and tissue from the underlying tissues causes Morel-Lavallee lesions, which result in an opening beneath the skin that can fill with fat, blood, and lymph fluid.
usually located in the greater trochanter, which is the area around the top of the hip bone, as well as the knees, lower spine, shoulder blades, chest, and buttocks.
The following are examples of common areas:
- lower spine
- shoulder blades
Most clinicians use an MRI scan to assess closed Degloving injuries, which can identify Morel-Lavallée lesions.
How to diagnose degloved face injuries
A doctor will identify Degloved face injuries based on a detailed medical examination and history of damage. They may order investigations to assess the degree of the harm. Determining the degree of a Degloving injury is challenging since visually analyzing the degloved skin may not indicate the entire extent of the injury.
Furthermore, skin viability is a tough analysis when employing subjective criteria such as bleeding, skin color, temperature, and pressure reaction. Because muscle and bone may be revealed where the skin has been pulled away, open Degloving injuries are easier to diagnose than closed Degloving injuries. It may not be obvious that the top layer of skin has detached from deeper layers of tissues.
How is it treated?
Treatment for Degloved face injuries is determined on the nature, severity, and location of the injury. They’re also frequently accompanied by more catastrophic injuries, such as fractured bones, that need immediate medical attention. The availability of modern trauma therapy is also a consideration. Not all emergency rooms may be equipped to handle sophisticated skin repairs.
- Open Degloving
The treatment of open Degloving injuries is dependent on the degree of the damage as well as hospital resources. Some emergency rooms are not equipped to perform sophisticated skin repairs. You may need to be transported to a local trauma hospital for further care.
Treatment methods vary depending on the quantity of skin remaining and the type of damage.
- reattaching the skin
- skin grafts using skin from other parts of the body
- reattachment of a finger or toe
All of these approaches often need numerous procedures. Depending on the severity of the injury, you may need to stay in the hospital for many days or weeks. You may also require physical therapy to restore use of the affected bodily component.
In certain circumstances, a minor Degloving injury will simply require a thorough cleaning and bandaging to recover.
- Closed Degloving
The degree of the damage also influences how closed Degloving injuries are treated. For small injuries, a combination of compression bandages, physical treatment, and rest may suffice.
Treatment options for more severe situations include:
- removing any accumulated fluid from the lesion
- dead tissue removal
- Sclerotherapy, which involves injecting drugs into blood arteries to cause them to shrink
Are there any complications?
In addition to being deadly on their own, Degloving injuries often involve deep wounds that are very susceptible to infection. Seek quick medical assistance so that the wound may be thoroughly cleaned in order to lower your danger. While you heal, let your doctor know if you encounter any of the following symptoms:
- red-colored borders around the wound
- Wound enlargement
- leaking from the incision, particularly if it is yellow or smells terrible
- achy body
- Closed Degloved face injuries that go untreated can potentially result in serious tissue death.
Degloved face injuries are serious, and can be deadly. Early treatment is essential for infection prevention. Treatment generally entails a lengthy hospital stay and many procedures, followed by several months of physical rehabilitation.