Surgical treatment of facial dog bite injuries in children

Lackmann, Gert-Michael; Draf, Wolfgang; Isselstein, Gunter; Töllner, U.

doi:10.1016/s1010-5182(05)80472-x

Cited by 116 publications

(118 citation statements)

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“…Though surgical management in animal bites remains a controversy, there is no doubt that role of primary wound management specially emphasizing on highest level of wound toileting plays a very important role [11]. Now surgical opinion is swinging in the favor of early repair [12,13]. The definitive treatment depends on the type of wound, depth of the wound, location of the wound and tissue loss, if any.…”

Section: Discussionmentioning

confidence: 99%

Maxillofacial Injuries due to Bear Mauling

Ram

2010

J. Maxillofac. Oral Surg.

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Bear bite injuries have become a common occurrence as the forest covers and natural habitats are diminishing. Patients injured in bear attack present with different patterns of injuries. A common protocol may not be suitable for the management of injuries inflicted by these large wild animals. These animals usually attack in remote areas where composite trauma centres do not exist and urgent referrals of these patients will have significant effect on the final outcome. Limited literature is available describing bear bite management in maxillofacial practice. The goal of the present case reports is to document the injuries suffered in bear mauling and to add to the literature on the conservative management with minimal complications.

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Section: Discussionmentioning

confidence: 99%

Maxillofacial Injuries due to Bear Mauling

Ram

2010

J. Maxillofac. Oral Surg.

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“…Based on several prospective, randomized trials, the overall infection rates of these wounds range from 0.53-47%. 5,7,[8][9][10]12,[24][25][26][27][28][29] In contrast, sutured nonbite wounds have infection rates of 3-7%. 2,11,13 The effect of primary wound closure on the likelihood of developing infection following mammalian bite wounds has not been well studied.…”

Section: Resultsmentioning

confidence: 99%

“…It wasn't until the 1950s that antibiotics and primary closure of bite wounds were described. 5 More recent investigations support closure [6][7][8][9][10][11][12] ; however, the numbers of patients with sutured wounds in these studies were small. Clinical trials and microbiologic analyses have emphasized antibiotic use to prevent wound infections.…”

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Primary Closure of Mammalian Bites

Chen

Hornig

et al. 2000

Academic Emergency Medicine

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Abstract. Objective: Suturing of bite wounds remains controversial. The authors evaluated the incidence of wound infection in 145 mammalian bite wounds treated with primary closure. Methods: Consecutive patients with bite wounds receiving primary closure at a university hospital ED had structured closed-question data sheets completed at the time of wound management and suture removal. Infection was determined at the time of suture removal using a previously validated definition. Data included demographics; medical history; time from injury to evaluation; wound characteristics and location; details of wound cleansing methods, debridement, foreign body removal, and wound closure methods; use of antibiotics; and follow-up wound evaluation. Proportions and 95% confidence intervals were calculated. Results: One hundred forty-five mammalian bite patients were enrolled: 88 dog, 45 cat, and 12 human bites. Patients had a mean (ϮSD) age of 21 Ϯ 20 years; 58% were male; 86% were white; and they presented a mean (ϮSD) of 1.8 Ϯ 1.2 hours after injury. Bites occurred on the head and neck (57%), upper extremity (36%), and lower extremity (6%). Wounds had a mean length and width of 2.5 cm and 4.8 mm, respectively. Twelve percent involved structures deep to subcutaneous tissue. After primary wound closure, wound infections occurred in eight patients (5.5%; 95% confidence interval = 1.8% to 9.2%). Conclusions: The data suggest that carefully selected mammalian bite wounds can be sutured with approximately a 6% rate of infection. This infection rate may be acceptable in lacerations where cosmesis is a primary concern.

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“…En México, la mordedura en el 90% de las veces es consumada por perros de raza inespecífica 5 . Las heridas faciales, se han clasificado dependiendo de la profundidad en cuatro variedades: I, cuando la lesión no incluye al músculo; II cuando lo incluye; III cuando además hay pérdida de tejido; IVa, lo anterior, más lesión vascular o nerviosa y la IVb, lo anterior, más lesión ósea o pérdida de algún órgano 21 . En el hocico canino, existen más de 64 especies de bacterias potencialmente patógenas para el ser humano; destacan las aeróbicas como el estreptococo beta hemolítico alfa y beta, estafilococo aureus y epidermidis, Mordedura craneofacial por perro Pasteurella multocida, E. coli y pseudomona; anaeróbicas como B. fragilis y Prevotella y fisobacterium 22 .…”

Section: Discussionunclassified

Mordedura craneofacial por perro

Carlos¹,

Tomás²,

IIiana³

2014

Acta Pediatr Mex

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Este artículo debe citarse como: Baeza-Herrera C, González-Mateos T, Castillo-Aguirre AI y col. Mordedura craneofacial por perro. Acta Pediatr Mex 2010;31(3):89-94. www.nietoeditores.com.mx RESUMENIntroducción. El niño es víctima frecuente de mordeduras por perro; las lesiones que causan se deben al componente penetrante del mordisco, y en el caso de una herida craneofacial, la desvitalización, la rotura y machacamiento de los tejidos son la consecuencia más grave y devastadora de la lesión. El objetivo de este estudio fue analizar las condiciones clínicas predominantes de la herida. Método. Estudio retrospectivo de 146 pacientes que sufrieron mordedura craneofacial por perro observados entre el 2000 y 2007.Resultados. Las edades de los pacientes iban de uno a 15 años. Todos los niños fueron hospitalizados y sometidos a reparación primaria de la herida. Doce tuvieron infección local y nueve requirieron la participación del cirujano plástico. Conclusiones. La herida craneofacial por mordedura de perro debe ser suturada por un cirujano, de preferencia pediátrico, con criterios de cirugía estética reconstructiva. Palabras clave: Mordedura por perro, herida craneofacial, cirugía reconstructiva, machacamiento de tejidos. ABSTRACTIntroduction. Children are often victim of dog attacks; bite injuries sustained result from the penetrating component of the bite. In craneofacial bites, devitalization, crushing, tearing and avulsion of the facial components are the most serious and devastating consequence of injury. The purpose of this study was to characterize a group of children suffering craniofacial dog bites and examine the predominant clinical aspect of injury. Methods. A retrospective review of 146 children with dog bites of the scalp and face was done between the years of 2000 and 2007. Results. Children's age ranged from 1.0 to 15 years. All patients were hospitalized and underwent primary wound closure; 12 developed local infection and nine required plastic surgery. Conclusions. Dog bite craniofacial wounds should be treated by pediatric surgeons, with esthetic reconstructive surgery.

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Surgical treatment of facial dog bite injuries in children

Cited by 116 publications

References 11 publications

Maxillofacial Injuries due to Bear Mauling

Maxillofacial Injuries due to Bear Mauling

Primary Closure of Mammalian Bites

Mordedura craneofacial por perro

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