Department of Oral Surgery, Toulouse University Hospital, Paul Sabatier University, Toulouse, France.
Department of Paediatric Dentistry, Toulouse University Hospital, Paul Sabatier University, Toulouse, France.
Dent Traumatol. 2021 Feb;37(1):151-154. doi: 10.1111/edt.12591. Epub 2020 Sep 8.
A 12-year-old girl presented to the Department of Paediatric Dentistry of the Toulouse University Hospital 10 days after a facial injury, complaining of persistent pain and halitosis. Previous examinations only reported trauma of the upper incisors. Further clinical exploration showed an 8 cm laceration of the oral mucosa in the lower labial sulcus, 1.5 cm inferior to the gingival margin and exposing the symphyseal bone. The diagnosis of mental protuberance degloving was established. The treatment consisted of debridement of the wound, removal of the necrotic tissue, multiple plane sutures and antibiotics. Complete healing of the wound with no sensory deficit was achieved. Mental degloving injuries occur when a shearing force is applied to the soft tissues overlying the chin, stripping them from the labial bone. This type of wound is rare and can go undetected if a meticulous oral examination is not performed. Early management is essential so healing is not compromised.
一位 12 岁女孩因面部受伤 10 天后到图卢兹大学医院儿科牙科就诊，主诉持续性疼痛和口臭。之前的检查仅报告了上颌切牙外伤。进一步的临床探查显示下唇沟内口腔黏膜有 8cm 的裂伤，位于龈缘下方 1.5cm，暴露了联合骨。诊断为颏部脱套伤。治疗包括清创、清除坏死组织、多平面缝合和使用抗生素。伤口完全愈合，无感觉缺失。颏部脱套伤是指当剪切力作用于下巴上方的软组织时，将其从唇骨上剥离。这种类型的伤口很少见，如果不进行仔细的口腔检查，可能会漏诊。早期处理至关重要，以免影响愈合。
