Management of Facial Bite Wounds

Stefanopoulos, Panagiotis K.; Tarantzopoulou, Andromache D.

doi:10.1016/j.cden.2009.08.005

Cited by 34 publications

(83 citation statements)

References 81 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…11 Dogs tend to focus on the lips, cheek, and nose when attacking humans, known as 'the central target area'. 12 Invariably the lips are torn and tissue lost as the animal thrashes around its head. This killing method differs from the big cats which are known to aim for the neck of their prey and cause puncture wounds with the objective of severing the jugular veins.…”

Section: Discussionmentioning

confidence: 99%

Facial injuries following hyena attack in rural eastern Ethiopia

Fell

Ayalew²,

McClenaghan

et al. 2014

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Facial injuries following hyena attack in rural eastern Ethiopia

Fell

Ayalew²,

McClenaghan

et al. 2014

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

“…Nevertheless, delayed closure should only be reserved for certain high risk or already infected wounds [3,6]. The fact that most patients have good healing of the wound after primary sutures is because of the good blood supply in the facial region which increases the host resistance [5].…”

Section: Discussionmentioning

confidence: 99%

“…However, in avulsive wounds subcutaneous sutures may be required to get a primary closure even with the presence of a severe tissue defect [14]. The main goals of reconstruction remain the restoration of oral competence, maintenance of oral opening, and the restoration of normal anatomic relations with an acceptable aesthetic outcome [5,6]. …”

Section: Discussionmentioning

confidence: 99%

“…Human bites are as serious as animal bites because they induce a higher incidence of infectious complications. Human saliva is considered to be a virulent inoculum, with bacterial loads at the order of 10 8 per millimetre, which significantly increase in cases of periodontal disease and oral sepsis [6]. …”

Section: Introductionmentioning

confidence: 99%

“…The management should aim to neutralize this potential for infection and provide an infection-free environment for wound healing [6]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An unexpected presentation of a traumatic wound on the lower lip: a case report

et al. 2014

View full text Add to dashboard Cite

IntroductionTraumatic lip injuries present major challenges in terms of reconstructive options and the outcome of surgical management. The aetiology of lip injuries includes human bite as interpersonal violence. Bite wounds are always considered to be complex injuries contaminated with unique polymicrobial inoculum. A classification of facial bite injuries has been included and the surgical management of these lesions has also been discussed. We report a rare bite injury on the lower lip that resembled an ulcerative process.Case presentationA 30-year-old African man presented with a severe tissue defect on his lower lip to a Dental and Oral Department in Tanzania. He explained that 12 days ago he had been involved in a fight and someone had bitten his lower lip. An orofacial examination confirmed a serious loss of lip tissue that resembled a chronic ulcerative process. Accurate assessment of the lesion was made by a thorough evaluation of some parameters such as size, depth, presence of granulation tissue, fibrin coverage, wound edges, exudates and/or necrosis. A surgical debridement under local anaesthesia was carried out. Afterwards a layered suture was performed. Eventually the healing was complete and satisfactory.ConclusionsA severe bite avulsive wound on the lower lip, despite the elapsed time before treatment, may have an excellent prognosis after a simple surgical procedure.

show abstract

Microvascular replantation of a composite facial avulsion in a 24‐month‐old child after dog bite

et al. 2017

View full text Add to dashboard Cite

Dog bite injuries are common sources of morbidity with an estimated incidence of 4.5 million bites per year with over 350,000 requiring treatment in the emergency room. Children under the age of 14 are most likely to be affected with a peak age of 5-9 years old. We report a case of a 24-month-old female who sustained a large composite facial avulsion injury from a pit bull dog bite. The avulsed tissue involved a substantial portion of the patient's mid-face, including the entire soft tissue of the nose, upper lip, part of the left cheek, and left oral commissure. Artery-only microvascular replantation was performed because no recipient vein could be identified from the facial defect. Medicinal leech therapy was used for eight days postoperatively to prevent venous congestion. The patient experienced significant blood loss due to leech therapy and required nearly 29 L of blood product replacement. At the last follow up of 8 months postoperatively, the patient was recovering well with significant improvement in function and cosmesis of the mid-face. This case describes a successful artery-only replantation of an avulsive bite injury to the face of a young child. Despite the technical difficulty of cases such as this one, microvascular replantation should be attempted because when successful it provides a superior cosmetic and functional result to other reconstructive techniques.

show abstract

Management of Facial Bite Wounds

Cited by 34 publications

References 81 publications

Facial injuries following hyena attack in rural eastern Ethiopia

Facial injuries following hyena attack in rural eastern Ethiopia

An unexpected presentation of a traumatic wound on the lower lip: a case report

Microvascular replantation of a composite facial avulsion in a 24‐month‐old child after dog bite

Contact Info

Product

Resources

About