Dula D J, Leicht M J, Moothart W E
Ann Emerg Med. 1984 Aug;13(8):630-2. doi: 10.1016/s0196-0644(84)80295-4.
A young boy fell off his bicycle, striking his face on the pavement. On arrival in the emergency department, his only apparent injuries were facial abrasions; however, further examination of his oral cavity revealed that the soft tissues overlying the mandible had been stripped from the bone. Oral Surgery was consulted and the patient was taken to the operating room, where debridement and primary closure of the wound was performed under general anesthesia. Soft tissue injuries that result from a shearing or stripping force are termed degloving injuries, which are described best in relation to injuries of the hand, although other body parts can be involved. We report the case of a degloving injury of the mandible, an injury that has not been reported previously.
一名小男孩从自行车上摔下,脸部撞到了人行道上。到达急诊科时,他表面上仅有的伤是面部擦伤;然而,进一步检查他的口腔发现,下颌骨上方的软组织已从骨头上剥离。咨询了口腔外科,患者被送往手术室,在全身麻醉下进行了伤口清创和一期缝合。由剪切力或剥脱力导致的软组织损伤称为脱套伤,尽管身体其他部位也可能受累,但这种损伤在手伤方面描述得最为详尽。我们报告一例下颌骨脱套伤的病例,这种损伤此前尚未见报道。