Foster Michael D, Hudson John W
Chief Resident, Oral and Maxillofacial Surgery Program, University of Tennessee, Knoxville, TN.
Professor, Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, Knoxville, TN.
J Oral Maxillofac Surg. 2015 May;73(5):935-42. doi: 10.1016/j.joms.2014.12.003. Epub 2014 Dec 11.
The purpose of the present retrospective record review was to evaluate the patient demographics, treatment rendered, and long-term outcomes of patients injured in dog bite attacks to the oral and maxillofacial region.
In the present study, a retrospective medical record review was conducted of patients treated by the oral and maxillofacial surgery department at the University of Tennessee Medical Center who had presented with injuries to the head, neck, and face region from dog bite attacks from February 1, 2006 to October 31, 2013. Each patient included had to have had at least 1 follow-up visit. The data obtained from the patients' medical records included patient demographics, event details, injuries sustained, and treatment rendered and analyzed.
The medical records from 20 patients were included and reviewed. More than one half (60%) of the patients were younger than 12 years old. The dog was owned by the patient or a relative in 58% of the cases. The children sustained injuries requiring hospital admission and repair in an operating room setting more often than did the adults. Pit bulls were more frequently associated with injuries than other breeds (9 of 20).
Our patients required a total of 28 hospital inpatient days, 29 total procedures, and follow-up treatment for up to 2 years. Our review has shown the complexity of soft tissue injury treatment and the significant financial impact associated with dog bite injuries owing to the multiple hospital admissions, surgical revisions, and lengthy follow-up period required.
本回顾性病历审查的目的是评估口腔颌面部遭受犬咬伤患者的人口统计学特征、接受的治疗以及长期预后。
在本研究中，对田纳西大学医学中心口腔颌面外科于2006年2月1日至2013年10月31日期间治疗的因犬咬伤导致头、颈和面部受伤的患者进行了回顾性病历审查。纳入的每位患者必须至少有1次随访。从患者病历中获取的数据包括患者人口统计学特征、事件细节、所受损伤以及接受的治疗并进行分析。
纳入并审查了20例患者的病历。超过一半（60%）的患者年龄小于12岁。在58%的病例中，犬为患者或其亲属所有。儿童比成人更常因受伤需要住院并在手术室进行修复。比特犬比其他品种更常导致受伤（20例中有9例）。
我们的患者共需要28个住院日、29项手术操作，并接受长达2年的后续治疗。我们的审查表明了软组织损伤治疗的复杂性以及犬咬伤所致损伤带来的重大经济影响，这是由于需要多次住院、手术修复以及较长的随访期。
