We all love seeing our face in the mirror, but imagine getting into an accident, and it ruins everything. That’s because having a degloved face feels like. It’s a medical condition where the bones, soft tissues, and skin of the face are separated from each other. It usually happens when someone goes through an accident or extreme trauma.
However, this doesn’t mean that you’ve to live with it for life. That’s the reason we are sharing all you need to know about this condition.
What Is A Degloved Face?
A degloved face happens when a large piece of skin and the layer of soft tissue underneath it get partly or completely torn off. This can happen in car accidents, incidents with heavy machinery (like conveyor belts), and acts of violence between people. In face plastic surgeries, a managed loss of facial hair is often done.
They are often life-threatening because they usually cause a lot of blood loss and tissue death. It is called “glove removal” because the skin will be peeled back from the damaged area like a glove is taken off.
How Degloving Injuries Happen
Accidents with industrial or farm equipment are a common cause of degloving injuries, but there are other possible reasons, such as:
- Accidents with motorcycles
- Crashes in cars
- Mishaps in sports
- Animals can bite
- Falls from tall places
- Accidents on the job
Understanding Open & Closed Degloving
There are two main ways of this. They are called open and closed degloving, respectively.
1. Open Degloving
Open degloving is when your skin and tissue are torn off, revealing muscle, bone, or connective tissue. In some cases, a flap of skin near the wound may still be partly connected. Most open degloved face wounds are caused by:
- Accidents on the road
- Accidents involving factory or farm machinery
- Drops from high places
- Injuries from sports
- Animals can bite
The places where open degloved face injuries happen most often are:
But they can happen to any part of the body, like the fingers, arms, or feet. Serious injuries are caused by open degloving. They need medical care to stop them from losing too much blood and getting sick.
2. Closed Degloving
Not all closed degloved face injuries can be seen. This makes it harder for doctors to figure out what’s wrong. Sometimes, they can cause a bruise, but this is generally the only sign that can be seen. According to a 2017 review, up to one-third of people with closed degloving injuries may not be diagnosed right away.
Many closed degloved face injuries are caused by a force that pulls the top layer of skin and muscle away from deeper tissues, leaving a space under the skin. Morel-Lavallée lesions are the name for these holes. The sores can get full of lymph fluid, blood, or fat. Even though they look different, closed degloving injuries and open degloving injuries are both caused by the same kinds of events.
Read More: Best Mature Facial For Women Over 40
Most closed degloving injuries happen at the greater trochanter, which is at the top of the hip bone. The 2017 review says that the greater trochanter is involved in about 60 percent of these injuries. Some other common places are:
- Rear end
- The lower back
- The back of the neck
Most doctors use an MRI scan to identify closed degloving injuries, including degloved face, because it can find Morel-Lavallée lesions.
How Degloving Injuries Are Diagnosed
It can be hard to tell how bad an injury is just by looking at the degloved skin because it might not show the full length of the injury. When using subjective factors like bleeding, skin color, skin temperature, and pressure response, it is also hard to tell if the skin is alive or not. Open degloving injuries are easier to figure out because muscle and bone are visible where the skin has been torn off.
Closed, degloved face injuries are harder to spot because it may not be clear that the top layer of skin has separated from the lower layers of tissue. Look for bruises, pain, and swelling in the area.
How to Take Care of Degloving Injuries
The type, severity, and position of the degloved face injury determine how it should be treated. They also depend on whether or not expert trauma care is available and whether or not there are other injuries at the same time. The main goals of treatment are to stop the bleeding, keep the wound from getting infected, remove dead tissue, get blood flowing again, and rebuild skin and soft tissue. There are several ways to treat degloving injuries, such as:
- Primary closure: If there is enough healthy skin and muscle, the edges of the wound are stitched together.
- Skin grafts or flaps: In this method, the wound is covered with skin from another part of the body or with pieces from nearby or far away.
- Negative pressure wound treatment (NPWT): This is when a wound is treated with a vacuum device to help it heal and prevent infection.
- Free tissue transfer: This is when skin, muscle, or bone from another part of the body is moved to the wound site along with blood vessels.
There are several ways to treat closed degloving injuries, such as:
- Aspiration: A needle or syringe is used to take the fluid from the space under the skin.
- Drainage: To do this, a tube or catheter is put into the possible space, and the fluid is drained constantly.
- Sclerotherapy: A chemical agent is injected into the possible space to cause inflammation and swelling, which closes the space.
- NPWT: This is done by putting a vacuum device on the area to help it heal and stop an infection from happening.
- Surgical excision: In this method, the possible room is cut out, and the wound is closed.
How Does It Get Fixed?
The type, severity, and position of the injury determine how it should be treated. A lot of the time, they come with other major injuries, like broken bones, that need emergency care. Having access to expert care for trauma is also a factor. Not all emergency rooms have the skills to fix more complicated skin problems.
1. Open Degloving
How open-dwelling injuries are treated depends on how bad they are and what means the hospital has. Not all emergency rooms have the tools to fix complicated skin problems. You might need to be moved to a trauma center close for more advanced care. Treatment choices depend on how much skin is left and what kind of injury it is.
- Putting the skin back on
- Skin patches that use skin from other parts of the body
- Putting a finger or toe back on
- Cutting off
Most of the time, all of these options take more than one surgery. Depending on how bad your accident is, you may have to stay in the hospital for days or even weeks. You may also need to go to manual therapy so that you can use the hurt body part again. In some cases, all that is needed to heal a small degloving wound is a good cleaning and a bandage.
2. Closed Degloving
How closed degloving injuries are treated also depends on how bad they are. For less serious injuries, a mix of compression bandages, physical therapy, and rest may be all you need. Some ways to treat more serious cases are:
- Getting rid of any fluid that has built up in the spot.
- Taking away dead tissue.
- Sclerotherapy, in which medicine is injected into blood veins to make them narrow.
The Potential Complications
Degloving injuries are very bad on their own, but they also have a high chance of getting infected because they are often deep cuts. To lower your risk as much as possible, make sure you get emergency medical care so the cut can be cleaned well. Degloving injuries can cause major problems both right away and in the long run. They can change how the damaged body part works and looks, as well as the patient’s quality of life. Some common problems that only last a short time are:
- Hemorrhage: This is when a cut or the tissues underneath it bleed too much.
- Infection: This happens when germs get into the wound or the space around it, causing swelling, pus, and systemic symptoms.
- Sepsis: This is a dangerous situation in which an infection spreads to the bloodstream and kills organs.
- Compartment syndrome: This is when there is too much pressure in a small area of muscle and tissue, which can stop blood flow and damage nerves.
- Osteomyelitis: This is an infection of the bone that causes pain, swelling, and loss of the bone.
Some of the most common long-term problems are:
- Chronic pain: This is the pain that doesn’t go away or keeps coming back and makes it hard to do normal things.
- Scarring: This happens when the cut heals abnormally, leaving the skin thick, raised, or a different color.
- Contractures: This is when the skin, muscle, or connective tissue tightens or shortens, which limits how much the joint can move.
- Lymphedema: This is a condition in which the affected limb swells up because lymph fluid doesn’t drain well.
- Nerve damage: This means that the nerves that feel or move the affected area have been hurt, which can cause numbness, pain, weakness, or paralysis.
Most of the time, adopting safety measures and practices, especially in high-risk settings, is the best way to stop degloved face injuries:
- Wear the Right Safety Gear
Whether you’re working in a workplace setting or playing sports, using the right safety gear can cut the risk of facial injuries by a lot.
- Follow the Rules of the Road
If you follow the rules of the road, wear your seat belt, and put your child in the right car seat, you are less likely to get a serious face injury in a car accident.
- Implement Safety Protocols in the Workplace
Employers should enforce strict safety protocols and make sure that workers who use heavy machinery or work in dangerous settings have the right training.
Face injuries caused by taking off your gloves are serious and could change your life. To raise knowledge and make people safer, it’s important to know what causes the problem, what treatments are available, and how to stop it from happening. By following safety rules, wearing protective gear, and being careful in high-risk situations, we can lower the number of degloved face injuries and protect ourselves and others from this terrible condition.
If you or someone you know gets hurt in this way, get medical help right away to improve the chances of healing and getting back to normal. Always remember that protection is better than treatment.
Can Someone Fix Degloved Face?
Degloving degloved face and soft tissue injuries make up 4% of all injuries that are caused by impact. Men and young people are much more likely to get these accidents than women or older people. Most injuries to the head and neck that result in loss of skin are caused by car crashes.
- Soft-tissue injuries that lead to degloving can be either open or closed wounds.
- Soft tissue avulsion is the most common sign of an open degloving injury, while a hole filled with blood and melted fat is the most common sign of a closed degloving injury.
- The head and neck are more likely to have open wounds that cut through the skin, while the body and limbs are more likely to have closed wounds.
Is It Painful?
It can be hard to tell how bad a degloving injury is just by looking at the skin where the glove was. When using subjective factors like bleeding, skin color, skin temperature, and pressure response, it is also hard to tell if the skin is alive or not. So, the pain is evident, but the doctors will prescribe something that keeps the pain to a minimal level.
How Bad Is It To Be Degloved?
Tissue or degloving injuries are some of the worst kinds of injuries that can happen in a car crash, at work, or on the street. Degloving injuries are not only very painful, but they also make it hard to move and take a long time to heal. In this post, our Chicago personal injury lawyers will talk about what degloving injuries are, how they happen, and how they affect the person.
Is It Possible To Live with a Degloved Face?
This paper talks about an extreme case of total traumatic maxillofacial degloving, which caused some of the soft tissues and maxilla to come out of place. This is a very rare situation that has never been written about before because the patient lived even though he or she was likely to die soon.
After Degloving, Does Skin Grow Back?
Treatment of a degloved face after an accident is very expensive. Degloved face and injuries are painful and can change a person’s life, but they are also very expensive to treat. The truth is that injuries that require degloving are likely to cost even more than injuries that require amputation.
As injuries that remove skin are likely to cause nerve damage, disfigurement, and a high risk of infection, you will need multiple, very expensive surgeries to “get better,” which is not even promised by treatment. After the wound has been made steady, it will be looked at to see if it can be saved or replanted.
Even if some of the skin can be saved, it will need to be replaced with new skin to keep the area from getting sick. Even if a great plastic surgeon does patches, scars are likely to stay. If you’ve ever seen someone get a skin graft, you know that the new skin will cover the wound, but it won’t look as realistic as the skin that was there before.
Your surgeons will not only have to add new skin, but they will also have to fix, remove, or transplant new veins to the area. If they don’t, the skin will die, and the procedure will have to be done again, if that’s even possible, based on how bad the damage is. The process of fixing injuries that have been degloved is even more complicated than it sounds above, and it sounds pretty complicated already.
Also, the process of getting better is very painful and needs a lot of painkillers. Due to the way it heals and the fact that you may need more than one surgery, you can rack up a lot of medical bills. Even if you have good health insurance, it will still ruin your finances.
How Long Does It Take For The Wound To Heal?
It can take up to 6 months or even longer for a degloving injury to heal. To make sure an injury heals properly, it’s important to see a doctor as soon as possible and take extra care of it. Your doctor may tell you to do physical therapy or take nutritional pills, depending on how bad the wound is.
Is It Safe To Deglove?
Abrasion-degloving injuries can happen to any part of the body, but lower limb degloving injuries are the most common. However, degloving of the heels, upper limbs, or scalp can cause severe blood loss and shock. Especially degloving injuries in children need specialized, complex surgical reconstruction to keep them working. Degloving of the forearm usually happens at the level of the subcutaneous tissue, leaving the fascia intact.
- The plane of separation in the palm is the same as the lower level.
- The palmar tissue, the nerves and blood vessels in the fingers, and the flexor tendons and lumbrical muscles are all well protected.
- The plane of split at the dorsum of the hand is also at the subcutaneous level, which exposes the extensor tendons.
But it is rare for the tissue that covers the interossei muscles to get hurt. At the dermal level, the skin of the fingers starts to come off. Most flexor and extension tendons, as well as the nerve and blood vessel bundles, are still there, so the function is almost always the same. In the written word, there are some ways of putting degloving injuries into groups.
Arnez et al. put abrasion or degloving injuries into four groups based on their depth and size: restricted abrasion–avulsion injuries, non-circumferential single-plane degloving injuries, circumferential single-plane degloving injuries, and circumferential multi-plane degloving injuries. Also, they can be either open or closed wounds, so there are eight designs to remember.
The bottom line is that a degloved face can be extremely painful. However, if you ever find yourself in that situation, you must find a reliable surgeon to help you.