Lakshminarayan Nagesh, Savithramma R B, Bhuvaneshwari N G, Lawrence Denzy
Department of Public Health Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India.
Indian J Dent Res. 2020 Jan-Feb;31(1):149-152. doi: 10.4103/ijdr.IJDR_111_18.
Degloving injuries of the oral cavity are characterised by separation of periosteum and soft tissue of the anterior floor of the mouth from the inner cortex of the anterior segment. The higher incidence of the degloving injuries of mandible are seen in children and young adults due to higher involvement in contact sports. In elders, degloving injury of mandible are rare as compared to that of the limbs which are common. Here, we describe the case report of an elderly female with an apparent soft tissue abrasion with encrustation along the left side of the lower lip due to fall. Thorough intra oral examination revealed the presence of degloving injury along the lower anterior region of mandible which was debrided and sutured. Without a high level of suspicion, such lesions existing in the gingivobuccal sulcus may be missed, leading to increased risk of secondary infection and obligate healing in turn leading to increased morbidity.
口腔脱套伤的特征是口底前部的骨膜和软组织与前段内皮质分离。由于儿童和年轻人更多地参与接触性运动，下颌骨脱套伤的发病率较高。在老年人中，下颌骨脱套伤比常见的四肢脱套伤少见。在此，我们报告一例老年女性病例，因跌倒导致下唇左侧明显的软组织擦伤并结痂。全面的口腔内检查发现下颌骨下部前部区域存在脱套伤，进行了清创和缝合。如果没有高度的怀疑，存在于牙龈颊沟的此类病变可能会被漏诊，从而增加继发感染的风险，进而导致愈合困难，增加发病率。
