Morsures de chien à la face chez l’enfant : étude rétrospective de 77 cas

Hersant, Barbara; Cassier, Sophie; Constantinescu, G.; Gavelle, P; Vazquez, M.-P.; Picard, A.; Kadlub, Natacha

doi:10.1016/j.anplas.2011.11.003

Cited by 15 publications

(15 citation statements)

References 16 publications

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“…Within the human aggressive dog group, a significant association was found between the type of human victim and the sites of bite injuries: adult humans were more likely to be bitten on their arms or legs, whereas children were significantly more likely to be bitten on their head, face or neck. These findings have been reported in several studies [38,39] and might be explained by the small size of children, whose faces are at the dog muzzle level and by their limited ability to detect even the clearer signals of an incoming aggression such as a growl. Children can unknowingly provoke dogs with their natural tendencies to be active and loud, and parent supervision is always of paramount importance to prevent bites [40,41].…”

Section: Discussionsupporting

confidence: 65%

A Retrospective Analysis of Dog–Dog and Dog–Human Cases of Aggression in Northern Italy

Notari

Cannas

Sotto

et al. 2020

Animals

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In this survey, a caseload of aggressive dogs (n = 170) was analysed to increase the available information about biting dog characteristics, contribute to risk evaluation and improve bite prevention tools. All dog data were collected from questionnaires completed by veterinary behaviourists in Northern Italy. All dogs were referred to them by public authorities to be evaluated and treated due to the incidence of one or more episodes of aggression. Between the two groups of human-directed and dog-directed aggressive dogs, significant associations were found: the dog-directed aggressive group inflicted significantly more severe bites (p < 0.01) and offensive aggression (p < 0.01), whereas defensive aggression was significantly more numerous in the human-directed aggression group (p < 0.01) and more significantly located in private homes (p < 0.01). No significant associations were found between the severity of bites and one or more specific breeds in either group. The prevalence of defensive bites in private homes in human-directed aggression indicate that owners’ understanding of their dogs’ behaviour and communication is fundamental to preventing aggression, and that owner education programmes are fundamental tools to reduce aggression risk factors and prevent aggression.

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Section: Discussionsupporting

confidence: 65%

A Retrospective Analysis of Dog–Dog and Dog–Human Cases of Aggression in Northern Italy

Notari

Cannas

Sotto

et al. 2020

Animals

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“…Hersant and colleagues 17 reported a retrospective study of 77 cases in which treatment was performed by maxillofacial surgery and plastic surgery colleagues at their institution. They reported an average healing time of almost 11 months, and a third of their patient cohort required multiple surgical interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Multidisciplinary approaches to repair these potentially complex injuries involving the head, neck, face, orbits, or other areas can provide an optimal functional and cosmetic repair and may diminish significant long-term physical and psychological sequelae. 17,18 Gurunluoglu et al 10 published a review of 75 patients, including both pediatric and adult bite victims who were treated at a single level 1 trauma center. In their cohort, the mean duration from presentation to repair was 13.7 hours, and most wounds were repaired in the OR.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Facial Dog Bite Injuries in the Emergency Department Compared to the Operating Room

et al. 2019

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Objective To assess factors associated with repair of facial dog bites in the emergency department (ED) versus the operating room (OR) and to compare rates of surgical site infection and reoperation for each venue. Study Design Case series with chart review. Setting Single institution. Subjects and Methods All patients younger than 18 years of age who underwent surgical repair by a consulting surgical service within 24 hours of presentation for facial dog bites between 2010 and 2013 were included. Demographics, site of injury, associated evidence of complex injury, surgical site infections within 30 days, and reoperation within 2 years were compared between patients undergoing surgical repair in the ED versus the OR. Results One hundred sixty-five patients were evaluated; 75 patients underwent repair in the ED, and 90 patients were treated in the OR. Patients treated in the ED underwent surgery more promptly than patients treated in the OR (median time from arrival to procedure start 3.3 vs 6.8 hours, P < .001). Patients treated in the OR were more likely to have longer lacerations (3.0 cm vs 7.8 cm, P < .001), lacerations of the eyelid (17% vs 42%, P = .001), involvement of multiple regions of the face (11% vs 22%, P = .039), and multiple indicators of severe injury (3% vs 12%, P = .024). There were no differences in surgical site infections (1% vs 1%, P = .721) or reoperation rates (5% vs 13%, P = .071). Conclusions Surgical management of pediatric facial dog bites may be successfully performed in both the ED and OR settings. Severity of the injury should dictate the choice for management.

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“…After removing duplicates and off-topic articles, a total of 71 articles were retrieved from PubMed, WS, and GS on the surgical management of maxillofacial injuries due to animal or human bites, along with cross-referencing. Two articles were published in German language, 11,12 two in French 13,14 and the rest in English (94.36%).…”

Section: Resultsmentioning

confidence: 99%

Surgical Management of Animal and Human Maxillofacial Bites: A Comprehensive Review

Grillo,

Borba,

Brozoski

et al. 2024

JBSMFS

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Objectives: Animal and human bites to the face occurs commonly. If they are not fatal, these injuries can lead to highly detrimental effects. The aim of this paper is to review literature on this topic and to update knowledge on the subject. Methods: A comprehensive review by PubMed, Web of Science and Google Scholar was performed using the terms “face bite” and “face attack” for surgical management of wounds. No language restrictions or animal species were applied. Articles from the last 42 years have been included. Results: A total of 71 articles from 29 different countries worldwide were included. Despite animals’ anatomy and geographic differences, multiple steps of surgical management are essential to prevent wound infection, in addition to unaesthetic and functional issues. Late attendance can be very harmful. Conclusions: Besides several important steps, copious lavage with saline and later with an antiseptic is considered the be the most effective surgical maneuver. Primary suture and later reconstruction considerations were listed. Tetanus and rabies must be screened. If in doubt, prophylaxis is strongly recommended.

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Morsures de chien à la face chez l’enfant : étude rétrospective de 77 cas

Cited by 15 publications

References 16 publications

A Retrospective Analysis of Dog–Dog and Dog–Human Cases of Aggression in Northern Italy

A Retrospective Analysis of Dog–Dog and Dog–Human Cases of Aggression in Northern Italy

Treatment of Facial Dog Bite Injuries in the Emergency Department Compared to the Operating Room

Surgical Management of Animal and Human Maxillofacial Bites: A Comprehensive Review

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