Retrospective analysis of facial dog bite injuries at a Level I trauma center in the Denver metro area

Gürünlüoğlu, Raffi; Glasgow, Mark; Arton, Jamie; Bronsert, Michael

doi:10.1097/ta.0000000000000185

Cited by 48 publications

(39 citation statements)

References 29 publications

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“…24 Gurunluoglu et al documented 75 patients with facial dog bite injuries and found a 6.7% fracture rate, consisting of midface, mandibular, and nasal fractures. 33 Mitchell et al reported a 13.6% fracture rate of children suffering from dog bites to the scalp, face, and neck. The majority were skull fractures, but a midface and a mandibular fractures were also reported.…”

Section: Discussionmentioning

confidence: 99%

Dog-Bite–Related Craniofacial Fractures among Pediatric Patients: A Case Series and Review of Literature

Saadi

Oberman²,

Lighthall

2018

Craniomaxillofacial Trauma & Reconstruction

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Dog bites in the pediatric population commonly cause injuries to the head and can be associated with fractures, often leading to prolonged hospital stays, multiple surgical interventions, and long-term complications. Our goal was to evaluate our experience with dog-bite–related craniofacial fractures, understand frequency and demographics of these fractures, identify common fracture patterns, and provide recommendations based on management and complications encountered. The institution's electronic medical record was reviewed. A review of the English literature for the past 20 years was also conducted. A retrospective chart review was conducted using ICD-9 codes to include all patients with head and neck dog bites and craniofacial fractures. Fractures resulting from canine bites to the face and scalp were rare, occurring in our study in less than 1% of total facial dog bites (1,069 cases) and 1.5% of pediatric facial dog bites (462 cases). Ages ranged from 5 months to 9 years at the time of presentation. A total of seven patients, all pediatric, were documented. All seven patients required operative intervention for their wounds, and five patients required at least two operative interventions. Midface and skull fractures were the most commonly encountered fracture sites. Dog bite injuries to the face in young children, especially when severe, should raise suspicion for fracture of underlying bone. Management of these injuries should include a multidisciplinary approach and focus on repair of soft tissue and skeletal deformities. Furthermore, it is prudent to follow up patients who require operative management after injury to monitor for long-term complications, given the significant proportion of complications and operative takebacks in this study.

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Section: Discussionmentioning

confidence: 99%

Dog-Bite–Related Craniofacial Fractures among Pediatric Patients: A Case Series and Review of Literature

Saadi

Oberman²,

Lighthall

2018

Craniomaxillofacial Trauma & Reconstruction

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“…The risk of infection depends on the nature and site of the wound as well as on individual patient characteristics and the species by which he or she was bitten (Box 3). High infection rates are seen in deep wounds (especially cat bites), contaminated wounds, wounds involving marked tissue de struction, edema, and poor perfusion, wounds on the hands, feet, face, and genitals, and those that involve bones, joints, or tendons ( 3,4,(6)(7)(8)(9). N eonates and infants are at higher risk of infection than older children, adolescents, or adults.…”

Section: Infections Due To Bite Woundsmentioning

confidence: 99%

Animal and Human Bite Wounds

Rothe

Tsokos²,

Handrïck³

2015

Deutsches Ärzteblatt International

119

104

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“…In addition, the external findings of the head including the scalp laceration, bruising and contusions are usually not adequately documented in a clinical setting [8]. On the other hands, detection of the scalp lacerations is necessary for early debridement and reconstruction in the setting of trauma in order to avoid complications related to the retention of poorly or non-vascularized tissue, such as infection, and the need for more extensive delayed surgery secondarily [9,10].…”

Section: Introductionmentioning

confidence: 99%

The Frequency of Brain CT-Scan Findings in Patients with Scalp Lacerations Following Mild Traumatic Brain Injury; A Cross-Sectional Study

Hamrah¹,

Mehrvarz²,

Mirghassemi³

2018

BEAT

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Objective: To determine the frequency of the brain CT-scan findings in patients with mild traumatic brain injury (TBI) and scalp lacerations. Methods: This cross-sectional study was conducted during a 1-year period from March 2016 to March 2017 in Level I trauma center in Shiraz, Southern Iran. We included all the adult patients (≥18 years) admitted to our emergency room with mild TBI (GCS on admission of 15) and scalp lacerations. All the patients underwent Brain CT-Scan and the scans were reviewed by two radiologists who were unaware of the patients' clinical findings. The results are reported as proportions and frequencies. Results: Overall we included a total number of 94 patients with minimal TBI who had a scalp laceration on admission. The mean age of the patients was 30.78±8.01 (ranging from 18 to 47) years. There were 58 (61.7%) men and 36 (38.3%) women among the patients. The most common finding of the Brain CT-Scan was subgaleal hematoma in 76 (80.9%) patients followed by base skull base fracture in 7 (7.4%), linear skull fracture in 7 (7.4%), brain contusion in 3 (3.2%) and subdural hematoma in 1 (1.1%). Conclusion:The results of the current study indicate that scalp lacerations are associated with intracranial injuries in about 20% of the patients with mild TBI. Thus brain CT-scan is recommended in all the patients with mild TBI and scalp lacerations.

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Retrospective analysis of facial dog bite injuries at a Level I trauma center in the Denver metro area

Abstract: Therapeutic study, level V. Epidemiologic study, level III.

Cited by 48 publications

References 29 publications

Dog-Bite–Related Craniofacial Fractures among Pediatric Patients: A Case Series and Review of Literature

Dog-Bite–Related Craniofacial Fractures among Pediatric Patients: A Case Series and Review of Literature

Animal and Human Bite Wounds

The Frequency of Brain CT-Scan Findings in Patients with Scalp Lacerations Following Mild Traumatic Brain Injury; A Cross-Sectional Study

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