Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Ophthalmic Plast Reconstr Surg. 2013 May-Jun;29(3):179-82. doi: 10.1097/IOP.0b013e3182880114.
To report a series of pediatric facial fractures associated with dog bites.
Retrospective review of all dog bite injuries to the face with facial fractures in children from January 1, 2003, to October 31, 2011, at Children's Hospital Colorado (Aurora, Colorado). Patient demographics, location and number of fractures, clinical course, surgical repair, and complications were recorded and analyzed using Excel statistical software.
Seventeen of 1,201 (1.4%) children with dog bite injuries to the face also sustained facial fractures. The average age of patients was 3.9 ± 3.2 years and 53% were female. Thirty-five percent of patients presented with multiple facial fractures. The most common fracture involved the nasal bone (29%), while the remainder sustained fractures of the zygomatic arch, orbital rim, orbital floor, skull, mandible, maxilla, and/or sinuses. Of the 17 patients, 41% also sustained eyelid lacerations, 24% had injuries to the facial nerve, and 18% had canalicular lacerations. Fourteen of the 17 patients required surgical repair under general anesthesia.
Although uncommon, facial fractures associated with dog bites are a significant source of morbidity, often requiring complex surgical repair. Severe injuries to the face from dog bites should be evaluated for possible fractures in addition to soft tissue injuries.
报告一系列与犬咬伤相关的小儿面部骨折。
回顾性分析 2003 年 1 月 1 日至 2011 年 10 月 31 日期间，科罗拉多州儿童医院（科罗拉多州奥罗拉）收治的所有犬咬伤致面部骨折的儿童病例。记录并分析患者的人口统计学资料、骨折部位和数量、临床病程、手术修复和并发症，使用 Excel 统计软件进行分析。
1201 例犬咬伤致面部损伤的儿童中，有 17 例（1.4%）合并面部骨折。患者平均年龄为 3.9 ± 3.2 岁，53%为女性。35%的患者存在多处面部骨折。最常见的骨折发生在鼻骨（29%），其余骨折发生在颧骨、眶缘、眶底、颅骨、下颌骨、上颌骨和/或鼻窦。17 例患者中，41%合并眼睑裂伤，24%合并面神经损伤，18%合并泪小管裂伤。17 例患者中有 14 例在全身麻醉下接受了手术修复。
尽管罕见，但与犬咬伤相关的面部骨折是一种严重的疾病，常需进行复杂的手术修复。严重的犬咬伤致面部损伤，除软组织损伤外，还应评估是否存在骨折。
