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2022, Number 4

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Cir Plast 2022; 32 (4)

Facial reconstruction secondary to dog bite

Hernández-Moreno ÁA, Rodríguez-Rojas EC, Caltenco-Solís RB, Reynoso-Saldaña D, Rodríguez-Herrera EI, Sánchez-Mejía JC

Language: Spanish
References: 13
Page: 177-181
PDF size: 416.86 Kb.


ABSTRACT

Among mammals, dog bites to humans occur the most frequently (between 85 and 90 %). There is a high incidence in Mexico, around 110.44 cases per 100 thousand inhabitants. After the accident, the patient should first be stabilized and the wound should be washed with plenty of water or sterile saline solution (NaCl 9%). For primary closure, there are proposals for large facial wounds and disfiguring with less between eight and 12 hours of evolution. We attended a 68-year-old man bitten by a familiar dog, in the Lackmann III facial region. Stabilization, lavage and debridement of necrotic edges and hemostasis of the surgical site were performed; the wound was closed in planes and antimicrobial treatment with amoxicillin/clavulanic acid 500/25 mg orally, every 8 hours, for seven days, was started. Every dog bite involves a risk of infection, but this risk depends on the characteristics and site of the injury, as well as its prompt management and initial lavage. It is important to be aware of the medical action to be taken in case of dog bite wounds in any part of the body; as well as, to refer patients to a specialist to have a better attention and ensure a promising evolution.


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