Maurer, Michael and Schlipkoeter, Cornelius and Gottsauner, Maximilian and Waiss, Waltraud and Meier, Johannes K. and Fiedler, Mathias and Schuderer, Johannes G. and Taxis, Juergen and Reichert, Torsten E. and Ettl, Tobias (2023) Animal Bite Injuries to the Face: A Retrospective Evaluation of 111 Cases. JOURNAL OF CLINICAL MEDICINE, 12 (21): 6942. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
The treatment of bite wounds to the face is discussed controversially in relation to surgery and antibiotics. The aim of this study is a retrospective evaluation of 111 cases of animal bite injuries to the face that presented to our unit of oral and maxillofacial surgery over a 13-year period. Children under 10 years of age were predominantly involved. A total of 94.5% of the assessed injuries were caused by dogs. Wound infections occurred in 8.1%. Lackmann type II was the most common type of injury (36.9%). The perioral area was affected most frequently (40.5%). Primary wound closure was carried out in 74.8% of the cases. In 91.9% of the cases, antibiotic prophylaxis was prescribed. The most often administered type of antibiotic was amoxicillin with clavulanic acid (62.1%). Patients without antibiotics showed an increased infection rate without significance. Wound infections occurred significantly more frequently in wounds to the cheeks (p = 0.003) and when local flap reconstruction was necessary (p = 0.048). Compared to the other surgical treatment options, primary closure showed the lowest infection rates (4.8%, p = 0.029). We recommend antibiotic prophylaxis using amoxicillin with clavulanic acid and wound drains for wounds of Lackmann class II or higher. Primary closure seems to be the treatment of choice whenever possible.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PRIMARY CLOSURE; DOG; MANAGEMENT; CAT; WOUNDS; HEAD; EXPERIENCE; INFECTION; RISK; animal bite; wound infection; facial trauma; maxillofacial surgery |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 09 Mar 2024 17:47 |
| Last Modified: | 09 Mar 2024 17:47 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59497 |
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