A Patient With Severe Lower Face Degloving Injury

Avulsions of mandible are among the most devastating lesions observed in cranio-maxillofacial traumas. They present an important health problem because of the high risk of morbidity related to deformities that cause functional limitations and esthetic changes. The avulsions commonly result from high-energy effects, which cause complete or partial separation of the mandibular bone of the face. As a result of the intense aggression, the skin and subcutaneous tissues of the bone are usually removed, affecting muscles, fascia, blood vessels, and the surrounding nerves. This article aimed to present a case of partial avulsion of mandible caused by car accident. Here, we emphasize the importance of correctly performing patient stabilization and maintenance of the airways, damage control, and facial reconstruction. Finally, we proceeded with a literature review to discuss standard protocols and controversies in the treatment of these lesions. Address correspondence and reprint requests to Jéferson Martins Pereira Lucena Franco, D.D.S., Department of Oral and Maxillofacial Surgery, Hospital Geral de Fortaleza – HGF – Fortaleza – Ceará, Brazil, Rua Paulo Morais, 321, Papicu – Fortaleza – Ceará – Brazil; E-mail: jefersonlucenaodonto@hotmail.com Received 22 January, 2018 Accepted 14 February, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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