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面部撕裂伤:与咬伤的抗争!

Facial Laceration: A Fight Against a Bite!

作者信息

Malankar Tanvi E, Shah Sonal B, Gangawane Aishwarya A

机构信息

Department of Oral and Maxillofacial Surgery, Dr D.Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India.

出版信息

J Cutan Aesthet Surg. 2022 Apr-Jun;15(2):193-195. doi: 10.4103/JCAS.JCAS_118_21.

Abstract

BACKGROUND

Facial bite injuries can cause functional, emotional, and psychological distress to the victim. Dog bites are the most commonest injuries of all mammalian bites. We as oral and maxillofacial surgeons have reported a case of 75-year-old man with a dog bite injury on his face. Step-wise management of the wound and required anti-rabies therapy has been discussed.

MATERIALS AND METHODS

The patient was immediately given anti-rabies prophylaxis and thorough debridement of the wound was done with various antiseptic solutions. After satisfactory debridement, margins of the wound were freshened and closure of wound was done with resorbable and non-resorbable sutures. Post-operatively, the patient was put on antibiotic regimen.

RESULTS

Not only esthetic but also functionally acceptable results were achieved. Locally applied antiseptic solutions and anti-rabies prophylaxis proved its efficacy in infection control.

CONCLUSION

Each bite injury will have different treatment outcomes. Hereby we discuss one of the methods in the management of facial dog bite with most easily available medicaments.

摘要

背景

面部咬伤会给受害者带来功能、情感和心理上的困扰。狗咬伤是所有哺乳动物咬伤中最常见的。作为口腔颌面外科医生,我们报告了一例75岁男性面部被狗咬伤的病例。文中讨论了伤口的逐步处理方法以及所需的狂犬病治疗。

材料与方法

立即给予患者狂犬病预防措施,并用各种消毒溶液对伤口进行彻底清创。清创满意后,修整伤口边缘,用可吸收和不可吸收缝线缝合伤口。术后,患者接受抗生素治疗。

结果

不仅获得了美观的效果,而且功能上也可以接受。局部应用消毒溶液和狂犬病预防措施在控制感染方面证明了其有效性。

结论

每例咬伤的治疗结果都会不同。在此,我们讨论使用最容易获得的药物处理面部狗咬伤的方法之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c22/9364462/d6ad8c525583/JCAS-15-193-g001.jpg

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