Damage of Facial Soft Tissues as a Result of Being Bitten by a Dog

• Authors: Bogna Zielińska-Kaźmierska , Leszek Wieczerzak , Agnieszka Kozioł , Karolina Majkowska , Piotr Arkuszewski , Bogusława Manowska
• Languages of publication: EN

Abstracts

EN

Being bitten by a dog can have serious health effects. That is why, never underestimate even the smallest soft tissue injuries inflicted by aggressive animals. This incident may have an impact on the further condition of a patient. From our first aid will also depend the aesthetic and functional effect of the scar on the face. We should pay attention to the use of antibiotic prophylaxis. The aim of the study was to perform the analysis of the soft tissue bitten injuries made by dogs in patients treated in the years 2004‑2009 in the Clinic of Cranio-Maxillo-Facial and Oncological Surgery in Łódź. The most frequent attacked areas were analyzed in the cases of single and multiple face wounds. The dependence of the dog attacks and the alcohol consumption by the victims. The use of an early antibiotic prophylaxis and the number of the infectious complications. Material and methods. The material studied is a group of 26 patients, including 17 women and 9 men. In the majority patients were older than 20 years old. Results. The analysis of our data shows that most of the victims were aged 19-30 and 51-60 years. 14 patients have been mutilated on one area of the face, the remaining patients at least two areas. Most injuries underwent upper or lower lip. In all cases, the initial supply has been applied to the wounds. Antibiotic prophylaxis was used in 23 patients. In one of the other three cases, patient who have not been applied to the prevention of complications in the form of phlegmon face. Half of the attack dogs have been known to the victims. All patients had implemented prevention of tetanus, or held-to-date vaccinations. In eight cases, patients reported that at the time of the event they were under the influence of alcohol. Conclusions. Primary supply of bitten wounds of face at the moment seems to be the standard. In our study, in cases where patients has been treated with an antibiotic, there was no case of infection in the wound. Late complication in the form of phlegmon occurred in one patient who had not used prophylaxis. As the most of the authors note lower lip is the most vulnerable for the bite in the case of adult people. Analysis of our data is consistent with these reports. It has also been found that people under the influence of alcohol are often attacked by unknown dogs.

Keywords

EN

wound bitten; dog; antibiotic prophylaxis; treatment of wounds

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 8
• Pages: 364-369

Dates

published

1 - 8 - 2014

received

10 - 7 - 2014

online

3 - 10 - 2014

Contributors

author

Bogna Zielińska-Kaźmierska

• Department of Cranio-Maxillo-Facial Surgery Medical University in Łódź

author

Leszek Wieczerzak

• Department of Laryngology with Maxillo Surgery Unit, Voivodship Hospital in Elbląg

author

Agnieszka Kozioł

• Students’ Society at the Faculty of Maxillo-Facial and Oncological Surgery

author

Karolina Majkowska

• Students’ Society at the Faculty of Maxillo-Facial and Oncological Surgery

author

Piotr Arkuszewski

• Department of Cranio-Maxillo-Facial Surgery Medical University in Łódź

author

Bogusława Manowska

• Department of Cranio-Maxillo-Facial Surgery Medical University in Łódź

References

• 1. Cornelissen MR Hopster J, Hans: Dog bites in The Netherlands: A study of victims, injuris, circumstances and aggressors to support evaluation of breed specific legislation. The Veterinary J 2010; 186: 292-98.[WoS]
• 2. Griego RD, Rosen T, Orengo IF et al.: Dog, cat, and human bites: A reviev. Journal of the Amer Academy of Dermatology 1995; 33: 1019-29.
• 3. Rainer Kesting M, Holzle F, Pox CH et al.: Animal bite injuries to the head: 132 cases. Br J Oral and Maxillofacial Surg 2006; 44: 235-39.
• 4. Javaid M, Feldiberg L, Gipson M: Primary repair of dogs bites to the face: 40 cases. J Royal Society of Medicine 1998; 91: 414-16.
• 5. Monroy A., Behar P., Nagy M et al.: Head and neck dog bites in children. Otolaryngol-Head and Neck Surg 2009; 140: 354-57.[WoS]
• 6. Schalomon J, Ainoedhofer H, Singer G et al.: Analysis of dog bites in children who are younger than 17 years. Pediatrics 2006; 117: 3.
• 7. Abuabara A: A review of facial injuries due to dog bites. Med Oral Patol Oral Cir Bucal 2006; 11: E348-50.
• 8. Morgan M: Hospital management of animal and human bites. Journal of Hospital Infection 2005; 61(1): 1-10.[Crossref]
• 9. Stefanopolos PK, Tarantzopoulou D: Facial bite wounds: management update. Int J Oral & Maxillofacial Surg 2005; 34: 464-72.
• 10. Emet M, Beyhun NE , Kosan Z et al.: Animalrelated injures: epidemiological and meteorological features. Ann Argic Environ Med 2009; 16: 87-92.
• 11. Talan DA, Citron DM, Abrahaian FM et al.: Bacteriologic analysis of infected dog and cat bites. The New Eng J Med 1999; 14: 85-92.[Crossref]
• 12. Goldstein EJ, Citron DM, Wield B et al.: Bacteriology of Human and Animal Bite Wounds. J Clinic Microbiol 1978; 8(6): 667-72.
• 13. Brenner DJ, Hollis DG, Fanning GR, Weaver RE: Capnocytophaga canimorsus sp. nov. (Formerly CDC Group DF-2), a cause of Septicemia following dog bite, and C. cynodegmi sp. nov., a cause of localized wound infection following dog bite. J Clin Microbiol 1989; 27 (2): 231-35.
• 14. Erlin Murphy: Microbiology of Animal Bites. Clinic Microbiol Newsletter 2008: 30(7): 47-50.[Crossref]
• 15. Ozanne-Smith J, Ashby K, Stathalis VZ: Dog bites and injury prevention - analysis, critical review, and research agenda. Injury Prevention 2001; 7: 321-26.[Crossref]
• 16. Zieliński T: Pierwotne zaopatrzenie ran kąsanych nosa. Otolaryngol Pol 2010; 64: 3.[Crossref]
• 17. WHO: WHO Expert Consultation on Rabies. First Report. s.l.: WHO Technial report series 931, 2004. ISBN 9241209313, ISSN 0512-3054.
• 18. Weiss HB, Fridman DI, Coben JH: Incidente of dog bite injures treated in Emergency Departments. 1998; 7(279); 51-53.

Identifiers

DOI

10.2478/pjs-2014-0065