Comminuted mandibular fracture in child victim of dog bite

Carvalho, Matheus Furtado de; Hardtke, Luiz Augusto Paixão; Souza, Max Filipe Cota de; Araujo, Vasco de Oliveira

doi:10.1111/j.1600-9657.2011.01079.x

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Patients required hospital stays from 4 days to 2 months following their operative treatment. A complete summary of cases can be found in Table 2 25262728293031…”

Section: Resultsmentioning

confidence: 99%

“…The most common dog breeds implicated with facial fractures after an attack are breeds with large jaws, such as the Pitbull, German shepherd, Rottweiler, and Labrador. 22,23,[25][26][27]32 Pitbulls have particularly wide jaws and a behavioral tendency to deliver sustained, prolonged force during a bite. Many bites with associated fractures display a pattern of lacerations on both sides of the bone or lacerations on the opposite side of the head in the cases reviewed.…”

Section: Discussionmentioning

confidence: 99%

“…28 Dog bite fractures can demonstrate unique fracture patterns with significant comminution due to the mechanism of injury. 23,26,27 Despite the unique cause of injury, the authors favored using traditional methods of internal reduction and rigid fixation for displaced fractures. Nondisplaced fractures should be treated with routine closed reduction and soft diet.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Dog-Bite–Related Craniofacial Fractures among Pediatric Patients: A Case Series and Review of Literature

Saadi

Oberman²,

Lighthall

2018

Craniomaxillofacial Trauma & Reconstruction

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Dog bites in the pediatric population commonly cause injuries to the head and can be associated with fractures, often leading to prolonged hospital stays, multiple surgical interventions, and long-term complications. Our goal was to evaluate our experience with dog-bite–related craniofacial fractures, understand frequency and demographics of these fractures, identify common fracture patterns, and provide recommendations based on management and complications encountered. The institution's electronic medical record was reviewed. A review of the English literature for the past 20 years was also conducted. A retrospective chart review was conducted using ICD-9 codes to include all patients with head and neck dog bites and craniofacial fractures. Fractures resulting from canine bites to the face and scalp were rare, occurring in our study in less than 1% of total facial dog bites (1,069 cases) and 1.5% of pediatric facial dog bites (462 cases). Ages ranged from 5 months to 9 years at the time of presentation. A total of seven patients, all pediatric, were documented. All seven patients required operative intervention for their wounds, and five patients required at least two operative interventions. Midface and skull fractures were the most commonly encountered fracture sites. Dog bite injuries to the face in young children, especially when severe, should raise suspicion for fracture of underlying bone. Management of these injuries should include a multidisciplinary approach and focus on repair of soft tissue and skeletal deformities. Furthermore, it is prudent to follow up patients who require operative management after injury to monitor for long-term complications, given the significant proportion of complications and operative takebacks in this study.

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“…Patients required hospital stays from 4 days to 2 months following their operative treatment. A complete summary of cases can be found in Table 2 25262728293031…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Dog-Bite–Related Craniofacial Fractures among Pediatric Patients: A Case Series and Review of Literature

Saadi

Oberman²,

Lighthall

2018

Craniomaxillofacial Trauma & Reconstruction

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“…Most reviews have suggested that large dogs, such as American Pit Bull Terriers, Rottweilers, and German Shepherds are the main species involved in this type of trauma. 16 – 18 Wolff 19 and Morgan et al 20 claimed that American Pit Bull Terriers and German Shepherds are responsible for the majority of fatal attacks. In a retrospective study of 20 maxillofacial canine bite cases, 45% of attacks were made by Pit Bull Terriers.…”

Section: Discussionmentioning

confidence: 99%

Primary Repair of a Complex Panfacial Fracture by Dog Bite

Heitz

Louzada

Conci

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Summary:Facial fractures due to dog attacks have an unknown incidence rate. To date, only 41 cases of canine bite trauma in a pediatric patient, associated with facial fracture, have been reported in the literature. As major species of involving dogs are the American pitbull terrier and rottweiler. Due to the intense kinematics of this trauma, the treatment becomes complex. Thus, attention to the primary repair of such complex lesions ensures satisfactory results, which is the focus of this discussion. The purpose of this review was to analyze how different ways to approach this type of trauma in children for clarification or correct management. In addition, we address the treatment plan of a complex case of panfacial fracture by a canine bite in a 4-year-old patient. According to a review addressed, the main involved are orbit, nasal, and zygomatic. Antibiotic therapy is indicated for infected bite wounds and wounded considerations at risk of infection, with high complexity and when involving important structures such as bones, vessels, and joints. The state of tetanus immunization and the risk of rabies infection should be routinely addressed in the management of the bite wound.

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