Introduction: The treatment of facial wounds by human bites is difficult, especially in under-developed countries. We aimed to distinguish the epidemiological and clinical aspects to describe the therapeutic methods and evaluate their effectiveness. Materials and methods: This was a descriptive and retrospective study over a period of 6 years. Patients who consulted regarding a human bite wound and were surgically treated were included. Results: Eighteen patients with a hospital prevalence of 0.008% were enrolled. The ratio of men to women was 2 (12 men for every 6 women). The average age was 32.77 years (range, 23–45 years). The lesions were labial in 11 cases (61.11%). The wounds were type III in eight cases (44.44%) and type II in nine cases (50%). Surgical treatment was primary in 12 cases (66.67%) and delayed in 6 cases (33.33%). The evolution was favorable in 16 cases (88.89%). Discussion: The wounds on the face created by human bite can be effectively treated via primary repair while reserving systematic secondary closure to an initially necrotic wound.

Introduction: Palatal wounds in children as a result of a bovine horn blow have rarely been observed in adults and almost never in children. They are serious and can lead to fatal complications. Dental injuries by bovine horn are also rare. Observation: This study presents the unpublished case of an 11-year-old child who developed a soft palate penetrating wound associated with traumatic loss of the lower incisors as a result of a bovine horn blow. The surgical outcomes were positive. Comment: This type of childly bovine trauma is common in rural African agricultural areas. Dental trauma probably served as a mitigator to the soft palate trauma thus avoiding an associated injury of the hard palate and a contusion of the internal carotid artery. Although, there is a consensus among practitioners on leaving palate wounds to heal spontaneously, we chose a debridement and a suture because of the severity of the wound and the potential risk of turning into an oral-nasal fistula. Conclusion: The potential severity of palate and dental damage from bovine horns should lead to dehorning of cattle for better protection of children in rural agriculture.

Aim: Describe the epidemiological, clinical and therapeutic particularities of craniofacial trauma by encornment. Type of study: This was a retrospective and descriptive study. Material and methods: It took place in the surgical emergency departments of Bouaké (Côte d'Ivoire) University Hospital from January 2013 to December 2017, for a period of 5 years. It focused on patients of 0 to 5 years old admitted for craniofacial trauma involving the horn of a bovine. Results: Of the 26 cases of traumatic encornment, 11 were craniofacial location (42%). There were 9 male and 2 female victims. The average age was 10.54 years with extremes of 6 months and 24 years. Patients came from rural areas of Côte d'Ivoire. Bovids were responsible for all causal encornements. The lesions involved the scalp (3 cases) and the face (8 cases). The lesions were cutaneous-musculo skeletal in 7 cases. The surgical treatment included debridement associated to a suture in all cases and associated with maxillo mandibular blockage in 3 cases and duro-cranioplasty in one case. Conclusion: In the local context, facial cranio traumatism by encornement is rare and seems to be essentially infantile, masculine and rural problem.