坦桑尼亚穆希姆比利国家医院口腔面部区域的人类咬伤损伤。

Human bite injuries in the oro-facial region at the Muhimbili National Hospital, Tanzania.

作者信息

Shubi Farrid M, Hamza Omar J M, Kalyanyama Boniphace M, Simon Elison N M

机构信息

Department of Oral Surgery and Oral Pathology, School of Dentistry, Muhimbili University of Health and Allied Sciences (MUHAS) Dar es Salaam, Tanzania.

出版信息

BMC Oral Health. 2008 Apr 30;8:12. doi: 10.1186/1472-6831-8-12.

DOI:10.1186/1472-6831-8-12

PMID:18447929

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2397395/

Abstract

BACKGROUND

Human bites in the maxillofacial region compromise function and aesthetics, resulting in social and psychological effects. There is paucity of information regarding human bite injuries in Tanzania. The aim of the study was to assess the occurrence, treatment modalities and prognosis of human bite injuries in the oro-facial region at the Muhimbili National Hospital Dar es Salaam, Tanzania.

METHODS

In a prospective study the details of patients with human bite injuries in the oro-facial region who attended at the Department of Oral and Maxillofacial Surgery of the Muhimbili National Hospital between January 2001 and December 2005 were recorded. Data included information on age, sex, site, duration of the injury at the time of reporting to hospital, reasons, details of treatment offered and outcome after treatment.

RESULTS

A total of 33 patients, 13 males and 20 females aged between 12 and 49 years with human bite injuries in the oro-facial region were treated. Thirty patients presented with clean uninfected wounds while 3 had infected wounds. The most (45.5%) frequently affected site was the lower lip. Treatment offered included thorough surgical cleansing with adequate surgical debridement and primary suturing. Tetanus prophylaxis and a course of broad-spectrum antibiotics were given to all the patients. In 90% of the 30 patients who were treated by suturing, the healing was uneventful with only 10% experiencing wound infection or necrosis. Three patients who presented with wounds that had signs of infection were treated by surgical cleansing with debridement, antibiotics and daily dressing followed by delayed primary suturing.

CONCLUSION

Most of the human bite injuries in the oro-facial region were due to social conflicts. Although generally considered to be dirty or contaminated they could be successfully treated by surgical cleansing and primary suture with a favourable outcome. Management of such injuries often need multidisciplinary approach.

摘要

背景

颌面区域的人类咬伤会影响功能和美观，进而产生社会和心理影响。坦桑尼亚关于人类咬伤损伤的信息匮乏。本研究的目的是评估坦桑尼亚达累斯萨拉姆穆希姆比利国家医院口腔面部区域人类咬伤损伤的发生率、治疗方式及预后。

方法

在一项前瞻性研究中，记录了2001年1月至2005年12月期间在穆希姆比利国家医院口腔颌面外科就诊的口腔面部区域人类咬伤损伤患者的详细信息。数据包括年龄、性别、部位、入院时受伤时长、受伤原因、所提供的治疗细节及治疗后的结果。

结果

共治疗了33例口腔面部区域人类咬伤损伤患者，年龄在12至49岁之间，其中男性13例，女性20例。30例患者伤口清洁未感染，3例伤口感染。最常受影响的部位（45.5%）是下唇。治疗方法包括彻底的手术清洗、充分的手术清创及一期缝合。所有患者均接受破伤风预防及一个疗程的广谱抗生素治疗。30例接受缝合治疗的患者中，90%愈合顺利，仅有10%出现伤口感染或坏死。3例伤口有感染迹象的患者接受了手术清洗、清创、抗生素治疗及每日换药，随后进行二期缝合。