title: Surgical Reconstruction of Lower Face Degloving.
abstract: One of the most impressive soft tissue injuries is the facial degloving, normally associated with industrial machines and traffic accidents. This injury is characterized by the separation of the skin and cartilage from the bones, compromising the soft tissues correlated in the trauma area, nerves, and blood vessels. A 28-year-old patient, male, was referred to Araçatuba's Santa Casa Hospital, after a motorcycle accident, hitting his face on the sidewalk. The patient was conscious, oriented, denying fainting and unconsciousness during the accident, and complaining of pain in the nasal region of the face. The suture of wounds was performed using 5-0 absorbable sutures for muscle planes, and reconstruction of the septum and nasal cartilages. The skin was sutured with interrupted stitches using 6-0 nylon. After reducing the edema, a slight increase in alar base was observed. Subsequently, the alar base cinch suture was performed aiming to bring the alar bases to a measure of 34.0 mm in diameter. As a conclusion, the knowledge of the anatomy of the region involved, the healing of tissues, and suture techniques for the facial region process were critical to the successful treatment. The evaluation of the alar base in degloving cases can involve aesthetic features.
authors.affiliation: *University of Ribeirao Preto, UNAERP, Ribeirao Preto, São Paulo†University Center Unichristus, Fortaleza‡University of Sao Paulo, Bauru§University of the State of São Paulo, UNESP, Araçatuba, Brazil.
authors.forename: Paulo Esteves Pinto
authors.initials: PE
authors.lastname: Faria
authors.forename: Abrahão Cavalcante Gomes
authors.initials: AC
authors.lastname: de Souza Carvalho
authors.forename: Bárbara
authors.initials: B
authors.lastname: Masalskas
authors.forename: Letícia
authors.initials: L
authors.lastname: Chihara
authors.forename: Eduardo
authors.initials: E
authors.lastname: Sant'Ana
authors.forename: Osvaldo Magro
authors.initials: OM
authors.lastname: Filho
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005145:Face / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D055171:Nasal Cartilages / Q000601:surgery; D015361:Rhytidoplasty / Q000379:methods*; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures