Sreeramaraju Vulchi, Babu Vaddi Suman, Sharma Mukesh Kumar, Jha Manoj Kumar, Bhattacharya Sameek
Department of Burns, Plastic and Maxillofacial Surgery, ABVIMS and Dr. RML Hospital, Baba Kharak Singh Marg, New Delhi, India.
Indian J Plast Surg. 2023 Aug 4;56(4):367-372. doi: 10.1055/s-0043-1771516. eCollection 2023 Aug.
: Facial dog bite injuries result in significant emotional, psychological, and physical trauma to the victims involved and should be considered a significant health issue. The purpose of this study is to share our experience in the management and to add to the existing medical literature regarding the epidemiological patterns of facial dog bite injuries. : This is a single-center retrospective observational study conducted at Dr. RML Hospital, New Delhi, from January 2021 to January 2022. A total of 105 patients were included. The wounds were managed according to the recommendations made by the national rabies control program and surgical intervention was performed in the form of primary suturing or flap cover. : Children of age group 0 to 10 years are most commonly affected. Pet dogs are the cause in 61% of cases and 57.1% of bites were provoked. Midface is most commonly affected and modified Lackmann's class 3A and 3B are the most common wounds. : In view of raising incidence of dog bites with pet dogs, the general public needs to be educated regarding the practices to prevent these injuries. Postexposure prophylaxis should be given to all affected individuals irrespective of the vaccination status of the dog. Immediate surgical intervention gives better results.
面部犬咬伤会给受害者带来严重的情感、心理和身体创伤,应被视为一个重大的健康问题。本研究的目的是分享我们在治疗方面的经验,并补充现有医学文献中关于面部犬咬伤流行病学模式的内容。 :这是一项于2021年1月至2022年1月在新德里RML医院进行的单中心回顾性观察研究。共纳入105例患者。伤口按照国家狂犬病控制计划的建议进行处理,并以一期缝合或皮瓣覆盖的形式进行手术干预。 :0至10岁年龄组的儿童最常受到影响。61%的病例是由宠物狗引起的,57.1%的咬伤是被激怒所致。面部中部最常受到影响,改良的拉克曼3A和3B级是最常见的伤口类型。 :鉴于宠物狗导致的犬咬伤发生率不断上升,需要对公众进行预防这些伤害的相关教育。无论狗的疫苗接种状况如何,都应对所有受影响的个体进行暴露后预防。立即进行手术干预会取得更好的效果。