Post-assault degloving of the nose, part of forehead with anterior wall of frontal sinus, entire upper and lower eyelids and the cheek - part 1
A 25 years old female presented with alleged history of assault by husband over the left hemi-face by a sickle two days after the trauma. There was degloving and avulsion of the left upper hemi-face including the nose, forehead skin and eyebrow on the left side, upper and lower eyelids and part of the cheek. The globe as well as eyesight was intact. The extra ocular movements were present.A thorough debridement was undertaken, and the devitalized tissue was excised. An attempt was made to reposition the degloved flap and the structures to their respective positions. It was like solving a jigsaw puzzle. Meticulous suturing was done to relocate the avulsed structures to their respective positions. Medial and lateral canthopexies were done to relocate the eyelids at their respective positions under appropriate tension.Credit: world journal of plastic surgery
