Zeaiter Nancy, Maassarani Deoda, Aoun Charbel B, Ghanime George, Sleiman Ziad
Plastic and Reconstructive Surgery, Lebanese University, Beirut, LBN.
Plastic and Reconstructive Surgery, Lebanese Hospital Geitawi UMC, Beirut, LBN.
Cureus. 2023 Apr 11;15(4):e37446. doi: 10.7759/cureus.37446. eCollection 2023 Apr.
Although animal bites account for a fair number of emergency department visits, donkey bites account for a very limited proportion. A 12-year-old boy presented to our department with a severe donkey bite involving his face. The injury included his left cheek with a laceration of the left ear cartilage. The examination revealed no serious morbidity (no vascular or nerve involvement). The patient received prophylactic antibiotics and anti-rabies/anti-tetanus vaccination. The wound was cleaned thoroughly with copious irrigation. Afterward, the patient underwent surgery to correct the defect in the cheek using a rotational advancement cervicofacial flap, while the penetrated ear cartilage was repaired and the skin margins were approximated and sutured. During the follow-up period, no complications were observed and the functional and cosmetic outcomes were satisfactory. Donkey bites are rarely encountered and they can result in different presentations and morbidities/outcomes. It is suggested that the timing from the bite injury to presentation, the stage/extent of the bite, the use of anti-tetanus and anti-rabies vaccines, and the prophylactic use of antibiotics may play a role in determining the outcomes and/or complications of donkey bites.
尽管动物咬伤占了相当数量的急诊科就诊病例，但驴咬伤所占比例非常有限。一名12岁男孩因面部严重驴咬伤前来我院就诊。损伤包括左脸颊及左耳软骨撕裂伤。检查显示无严重并发症（无血管或神经受累）。患者接受了预防性抗生素治疗以及狂犬病/破伤风疫苗接种。伤口用大量生理盐水彻底冲洗。之后，患者接受手术，采用旋转推进式面颈部皮瓣修复脸颊缺损，同时修复穿透的耳软骨，并对皮肤边缘进行拉拢缝合。在随访期间，未观察到并发症，功能和美容效果均令人满意。驴咬伤很少见，且可能导致不同的表现及并发症/后果。建议从咬伤到就诊的时间、咬伤的阶段/程度、破伤风和狂犬病疫苗的使用以及抗生素的预防性使用可能在决定驴咬伤的后果和/或并发症方面发挥作用。
