Restorative management of human bite injuries to the face: Case series

Abstract

Facial skin wounds are common problems seen and treated by emergency centers around the world. Among all wounds, cat and dog bites are frequently seen. Human bite injuries are both deceptive and difficult in their presentation and management. The injuries have a disfiguration effect with possible psychological impact on the patient. The aim of this paper is to compare experience with human bites of the face in our surgical unit, with other similar trials in term of reasons for the circumstances of injuries, age, and sex of the patients, site of injury, pan-time between consultation and treatment, incidence of infection and surgical management. Data in terms of age, gender distribution, circumstances of injury, location of injuries, evolution of surgical management and complications were recorded. We report here a series of 10 cases of human bite wounds to the face, admitted to our department, and treated with different reconstruction procedures.

Manejo de lesão por mordedura humana em face: relato de caso clínico

“…Apesar de serem menos frequentes que as mordeduras animais, os casos de mordeduras humanas apresentam grande preocupação, já que a mesma tem maior potencial para infecções, frequentemente na literatura são relatados casos de infecção O tempo de exposição é um dos fatores primordiais na conduta terapêutica inicial, ferimentos lacerantes na face, couro cabeludo e tronco devem ser manipulados em uma janela de tempo de até 12 horas, assim garantindo mínima contaminação, podendo ser fechadas com segurança, ferimentos com mais de 24 horas de exposição apresenta grande potencial infeccioso. (Aloua et al, 2021).…”

Human Bites Over Nose: Management and Reconstruction

“…Studies report acute reconstruction using nasolabial or melolabial flap and paramedian forehead flap for nasal defects following human bite injuries. 13 14 15 16 17 However, only few number of cases were reported in such studies. We performed delayed reconstruction of nasal defects to allow the infection to heal and scars to become supple.…”

Reconstruction Of Lower Lip Avulsion Due To A Human Bite: A Case Report

“…Thus, they present an important predisposition to infection. Therefore, it requires that the management be defined with agility in order to debride the traumatic wound and initiate antibiotic therapy to solve this complication 3 . Other points to be considered for the good management of the condition include the time between the trauma and the approach, which should not exceed eight hours, the vascularization of the affected site, the presence of contaminants, pre-existing diseases such as diabetes and malnutrition, and the nature of the aggressor 9 .…”

“…The patient has had three sessions so far, which resulted in scar reduction (Figure 6). Facial trauma can present a challenging surgical reconstruction, especially in cases of avulsion, since the main objectives are the functional and, when possible, aesthetic restoration 3,12 . In the case presented in this article, the challenge lay precisely in planning the best flap, considering the importance of tissue loss in an anatomical structure that has an extremely important function in the masticatory process.…”

“…The lips play an important operational role, as they participate in various functional movements, such as phonation, swallowing, facial expression, oral sealing, and aesthetics 1,2 . Thus, considering that facial injuries are a frequent occurrence in urgency and emergency services around the world, the importance of functional and aesthetic impairment, which can generate large facial deformities, is considerable, which generates negative impacts from the psychological point of view [1][2][3] .…”