PMC9058993_01
PMC9058993_02
initial avulsion and degloving injury of the face before rapid sequence intubation
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F1
There was avulsion and degloving of the left side of the face including the forehead skin, left eyebrow, left upper and lower eyelids, the nose, the whole of the left cheek, and part of the right cheek, upper and lower lips, and the skin overlying the chin (Figure 1).
examination of injuries after the establishment of the definitive airway by rapid sequence intubation with an endotracheal tube and initial stabilization
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F2
Therapeutic interventions: rapid sequence intubation to protect the airway was done at the emergency department (Figure 2).
overall examination of the avulsion and degloving injuries under anesthesia after cleaning and debridement was done in theatre
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F3
Under general anesthesia, the skin was prepared with povidone-iodine and wounds irrigated with normal saline and diluted betadine iodine (Figure 3).
intra-operative condition of the patient's face soon after the replacement and repair of the injured structures
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F4
The right nasal ala was then repositioned and the skin sutured in place (Figure 4).
healing wounds with sutures in position after the single-stage primary repair
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F5
Sutured facial wounds were progressively healing well without any tissue necrosis (Figure 5, Figure 6).
well repaired and positioned facial structures in the progressive healing process after suture removal
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F6
Sutured facial wounds were progressively healing well without any tissue necrosis (Figure 5, Figure 6).