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Maxillofacial injuries due to animal bites
#MMPMID26028828
Chhabra S
; Chhabra N
; Gaba S
J Maxillofac Oral Surg
2015[Jun]; 14
(2
): 142-53
PMID26028828
show ga
INTRODUCTION: Animal bites are a significant public health problem, with the
majority of bites coming from dogs, cats and humans. These may present as
punctures, abrasions, tears, or avulsions. The force and relative bluntness of
the teeth also increases the possibility of a crush injury with devitalized
tissue .The clinical presentation and appropriate treatment of infected bite
wounds vary according to the animal and causative organisms. These wounds have
always been considered complex injuries contaminated with a unique polymicrobial
inoculum. MATERIALS: This article reviews animal bite wound incidence,
bacteriology, risk factors for complications, evaluation components, recommended
treatment and prevention based on advanced PUBMED search of the English language
literature from the years 1970 to present. CONCLUSION: As the bite wounds are
frequently located on the face, an oral and maxillofacial surgeon needs to be
familiar with the treatment of animal bites, pitfalls in management and to
educate patients on ways to avoid future bite injuries. The management of animal
bites is an evidence poor area and most recommendations are based on small case
series, microbiological data and expert opinion. The main controversies include
whether wounds should or should not undergo primary closure and the use of
prophylactic antimicrobials.
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