When the skin and soft tissues of the face are violently separated from the bones and muscles underneath, this is known as a degloved face and is a very serious injury. This can occur as the result of a number of different mishaps, including vehicle collisions, workplace mishaps, falls, and animal attacks.
Large areas of skin and soft tissue are usually lost due to the injury, revealing the underlying facial structures. Scarring, a loss of appearance, and even the inability to perform basic functions like breathing, eating, and talking are all possible outcomes of this.
A degloved face injury can have serious physical consequences and often necessitates extensive medical treatment such as surgery, skin grafts, and reconstructive procedures. Infection, excessive bleeding, and damage to vital structures like the eyes, nose, and mouth are all potential outcomes of a severe injury.
The psychological impact of a degloved face injury can be just as significant as the physical one. Scarring and disfigurement can leave victims feeling self-conscious and helpless, which can spiral into depression and social withdrawal. It’s possible that the victim’s sense of self-worth, body image, and general happiness will all suffer as a result of the injury.
Examples of Degloved Face
Causes and Risk Factors
The Various Causes of Degloved Face Injuries
Automobile collisions falls, and workplace mishaps are all potential sources of degloved facial injuries. Degloving injuries are prevalent in car accidents, especially when the victim’s face hits the dashboard or steering wheel. Degloving injuries can also be caused by falls from great heights, especially if the victim lands on their face or strikes their head.
Degloving injuries can also occur in the workplace, most commonly in construction and manufacturing when heavy machinery is used. A worker’s face or head could get stuck in a machine, or a piece of machinery could break, both of which could lead to serious injury.
Identification of Certain Risk Factors
The likelihood of sustaining a degloved facial injury may be increased by the presence of certain risk factors. These risk factors include specific vocations or activities, such as those held by people who work in the construction or industrial sectors, as well as athletes who participate in high-impact sports such as football or rugby.
In addition, people who ride motorcycles or bicycles on a daily basis may have an increased chance of sustaining injuries that require them to have their gloves removed in the event that they are involved in an accident. Consuming alcohol can also raise the chance of sustaining a degloving injury since it can impair coordination and judgment, which can lead to an increased likelihood of accidents.
Symptoms and Diagnosis
Symptoms that May Occur After a Degloved Face Injury
After suffering a degloved face injury, one could experience a variety of symptoms. In the affected region, it is usual to experience swelling, bruising, and bleeding. Furthermore, pain is likely, particularly when moving or being touched. As a result of the injury to the nerves, the affected region may experience a loss of sensation, such as numbness or tingling. In addition, because the skin has been detached from the underlying tissue, it may give the appearance of being lax or drooping.
Diagnosing a Degloved Face Injury
A degloved face injury is often diagnosed by a physical examination performed by a medical professional or other healthcare provider. During the examination, the degree of the injury may be evaluated, and it may also be determined whether any of the structures beneath the skin, such as the bones or nerves, have been compromised. Imaging tests such as X-rays, CT scans, or MRIs may also be carried out by the healthcare professional in order to evaluate the severity of the injury and determine whether or not there is any underlying damage.
In some instances, a skin biopsy or culture may also be performed by a medical professional in order to determine the presence or absence of an infection. When someone suffers an injury to their face that requires them to remove their gloves, it is critical that they seek medical assistance as soon as possible in order to minimize the risk of further harm and maximize their chances of making a full recovery.
Treatment Options Available for a Degloved Face Injury
The degree of the injury and the amount of tissue that was compromised will determine which treatment options are available for a degloved facial injury. Surgery is often the first line of treatment for a degloved face injury, and it may involve relocating the skin and underlying tissue as well as restoring any damaged structures like bones, muscles, and nerves. Surgery is typically the first line of treatment for a degloved face injury.
In order to restore the damaged tissue, it is possible that skin grafts, which involve removing skin from another area of the body and transferring it to the injured location, will also be required. It is possible that in order to restore the appearance and function of the damaged area, additional reconstructive surgeries, such as tissue expansion or flap surgery, will be required.
Potential Risks and Benefits of Each Treatment Option
A healthcare physician and patient should carefully weigh the risks and advantages of each treatment option. Infection, bleeding, and scarring are all possible complications of surgery and skin grafts. Yet, they can also restore normal form and function to the injured region.
In other cases, the recovery period and the risk of problems associated with tissue expansion and flap surgery can be significantly longer. When reconstructing a larger portion of the face or restoring function to parts of the face like the nose or lips, however, these treatments may be necessary.
The best course of action for treating a degloved facial injury will ultimately rely on the circumstances surrounding the damage, the severity of the wound, and the patient’s general condition. In order to make the most educated decision possible, it is essential to review all available treatment options with a healthcare expert.
Recovery and Rehabilitation
Recovery from a Degloved Face Injury
It can be difficult and time-consuming to heal from a degloved face injury. Patients may need physical therapy to regain mobility and function in the injured area, although this will depend on the nature of the injury. Exercises that target flexibility, strength, and balance may be part of the solution.
Having someone there for you emotionally is crucial during your rehabilitation. Because of the obvious and sometimes disfiguring nature of the damage, patients may experience anxiety, depression, or social isolation. In order to persevere in the face of adversity, people may benefit from the assistance of loved ones or trained mental health specialists.
Coping with the Emotional and Psychological Challenges of a Degloved Face Injury
Dealing with the emotional and psychological issues that come along with a degloved facial injury can be a difficult process. The following are some suggestions for overcoming these challenges:
- Disclose your innermost thoughts and feelings to trusted friends and family or a trained mental health expert. It might also be beneficial to become involved in a support group for people who have suffered facial injuries.
- Do things that make you happy, whether they be hobbies or methods of stress reduction like yoga or meditation.
- The physical changes brought on by the injury may be out of your control, but your mindset and approach to healing are not.
- Reward yourself for even the smallest achievements and work towards achievable rehabilitation and healing objectives.
- When the face is injured, the process of healing can be drawn out. Maintain hope and faith that improvement is possible with time and effort put into a treatment plan.
Tips for Preventing Degloved Face Injuries
Injuries to the face that result from removing gloves can be avoided if the appropriate safety measures are taken to guard against accidents and injuries. Injuries to the face caused by removing gloves can be avoided by following these tips:
- Always use protective gear, such as a helmet, goggles, and a face shield, when engaging in potentially dangerous activities, such as riding a bike or participating in high-risk sports.
- Work safely by adhering to all regulations and protocols, especially if your job involves potential danger. That means getting the right training and donning the right protective gear.
- Injuries to the face are more common while engaging in high-risk pursuits like extreme sports or hazardous pastimes. You should either refrain from doing these things or otherwise ensure your own safety when doing them.
- The majority of times when people suffer from degloved face injuries, it is because of automobile accidents. In addition to always fastening your seatbelt, defensive driving requires that you stay focused on the road and not on anything else.
- Remove anything that could cause a slip, trip, or fall from your house or place of work. Maintaining a clean and orderly work area involves doing things like putting away tools and equipment when they are not in use and making sure that paths are clear.
- Centers for Disease Control and Prevention. (2021). Traumatic Brain Injury & Concussion: Personal Protective Equipment. Retrieved from https://www.cdc.gov/headsup/basics/ppetips.html
- Occupational Safety and Health Administration. (n.d.). Construction Focus Four: Caught-In or Between Hazards. Retrieved from https://www.osha.gov/oshstats/commonstats.html
- American Society of Plastic Surgeons. (2021). Facial Trauma. Retrieved from https://www.plasticsurgery.org/reconstructive-procedures/facial-trauma
- National Highway Traffic Safety Administration. (2021). Distracted Driving. Retrieved from https://www.nhtsa.gov/risky-driving/distracted-driving
- The Royal Society for the Prevention of Accidents. (2021). Slips, Trips, and Falls. Retrieved from https://www.rospa.com/safety-training/work/slip-trip-fall/.