Maxillofacial injuries as a result of wild animals attack are not commonly encountered and reported in the literature. Factors such as increasing human population near forest and lack of dependable physical barriers between forest and human habitations lead to frequently encountered incidents of wild animal attacks over humans especially in far western region of Nepal. The authors present two cases of bear attacks, one case of tiger attack, and one case of jackal attack and explain the pattern of maxillofacial injuries encountered along with management strategies undertaken. It was observed that the primary site of attacks of these wild animals was facial region. The magnitude of force with which bears and tigers attack over facial region with their paws can cause significant skeletal injuries irrespective of soft tissue injuries.
Facial fracture management dates as early as Hippocratic era. Comminuted mandibular fractures are one of the challenging clinical condition requiring high surgical expertise to achieve a good functional and esthetic outcome. In presence of infection and other facial fractures managing comminuted mandibular fracture becomes more challenging.Here we present a case of grossly comminuted and infected mandibular fracture with delayed presentation managed by using maxillary distractor as stabilizing agent. Using a maxillary distractor for managing a fractured mandible has been seldom reported in literature. Current case report gives idea to practicing clinician about the possibility of treatment beyond the established principles.
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