Rohee-Traore Adèle, Kahn Alexis, Khonsari Roman-Hossein, Pham-Dang Nathalie, Majoufre-Lefebvre Claire, Meyer Christophe, Ferri Joël, Trost Olivier, Poisbleau David, Kimakhe Jihane, Rougeot Amélie, Moret Audrey, Prevost Raphaëlle, Toure Gaoussou, Hachani Manel, DeBoutray Marie, Laure Boris, Joly Aline, Kün-Darbois Jean-Daniel
Department of Oral and Maxillo-facial surgery, Angers University Hospital, 4 rue Larrey, Angers 49100, France.
Department of Oral and Maxillo-facial surgery, Angers University Hospital, 4 rue Larrey, Angers 49100, France.
J Stomatol Oral Maxillofac Surg. 2024 Apr;125(2):101671. doi: 10.1016/j.jormas.2023.101671. Epub 2023 Oct 28.
Stay-at-home injunction during COVID-19 pandemic led to new dynamics in households and increased the risk of domestic accidents involving pets. The aim of the study was to demonstrate an increase of facial dog bites in children during first lockdown period in France, compared to the same period in 2018 and 2019. Secondary objective was to investigate the demographics and circumstances in which dog bites occurred.
A retrospective multicentric study was conducted nationwide. Patients under 18 years old managed in fifteen oral and maxillofacial surgery departments for a dog bite were included.
Eighty-seven patients were included. A significant increase of the number of children managed for facial dog bite was noticed in 2020 (p=0.0005). The male-to-female ratio was significantly reversed in 2020 with more bites in girls than boys (p=0.02). In 2020, children were mostly bitten to cheeks (28.6 %), lips-and-chin region (26.2 %), and eyelids (23.8 %). Severe bites increased in 2020, in comparison with 2018 and 2019. Dog bites occurring while petting or playing significantly increased in 2020 (31 %) (p=0.03).
The process leading to bites is highly dependent on the balance of dog-owner relationship. This was strongly disrupted during COVID-19 pandemic, resulting in the increase of dog bites in households. Regarding dog bites, face is the most vulnerable area in children. Its injury has lots of esthetic and functional consequences and maxillofacial surgeons have a key role to play in their prevention. Reminders of some of these management and prevention strategies are presented in this article.
新冠疫情期间的居家禁令给家庭带来了新变化，增加了涉及宠物的家庭事故风险。本研究的目的是证明与2018年和2019年同期相比，法国首次封锁期间儿童面部被狗咬伤的情况有所增加。次要目标是调查狗咬伤发生时的人口统计学特征和具体情况。
在全国范围内进行了一项回顾性多中心研究。纳入了在15个口腔颌面外科科室接受治疗的18岁以下被狗咬伤的患者。
共纳入87名患者。2020年因面部狗咬伤接受治疗的儿童数量显著增加（p=0.0005）。2020年男女比例显著逆转，女孩被咬伤的次数多于男孩（p=0.02）。2020年，儿童大多被咬伤脸颊（28.6%）、嘴唇和下巴区域（26.2%）以及眼睑（23.8%）。与2018年和2019年相比，2020年严重咬伤有所增加。2020年在抚摸或玩耍时发生的狗咬伤显著增加（31%）（p=0.03）。
导致咬伤的过程高度依赖于人与狗关系的平衡。在新冠疫情期间，这种平衡受到了严重干扰，导致家庭中狗咬伤事件增加。就狗咬伤而言，面部是儿童最脆弱的部位。其损伤会带来许多美学和功能方面的后果，口腔颌面外科医生在预防方面可发挥关键作用。本文介绍了其中一些处理和预防策略。
