Dog bite- fracture of the mandible in a 9 month old infant: a case report

Walker, Twm; Modayil, PC; Cascarini, Luke; Collyer, Jeremy

doi:10.1186/1757-1626-2-44

Cited by 12 publications

(21 citation statements)

References 10 publications

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“…Most dog-bite injuries in children are to the extremities of the body with the face and head stated as the common areas involved [1, 9, 14]. The child in our case received injuries solely to these areas and would support the literature in that the lip and cheeks are affected predominantly [9].…”

Section: Discussionsupporting

confidence: 70%

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Mandibular Fracture in a Child Resulting from a Dog Attack: A Case Report

Cottom

Tuopar

Ameerally

2011

Case Reports in Dentistry

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Dog attacks are extremely frequent and are thought to be responsible for an average of 250,000 minor injuries and emergency unit attendances each year. Children in particular are more likely to experience dog-bite injuries with 5–9-year olds most susceptible. The majority of injuries are to the head region, with the lips, cheeks, and nose often affected. Most injuries experienced are confined to the soft tissues; nevertheless, maxillofacial fracture is a potential albeit rare complication. The incidence of facial fractures in relation to dog bites is unknown; however, some have estimated that facial fractures could occur in 5% of dog attacks. However mandibular fracture following a dog bite is extremely rare, with review of the literature only identifying three cases. We present a further case in which a five-year-old sustained numerous soft-tissue lacerations to the face and hand, together with fracture of the mandibular symphysis following a dog attack. The fracture was successfully repaired using open reduction and internal fixation with titanium plates and screws. The case emphasises that although maxillofacial fracture is rare, it may occur following a dog bite and that thorough and systematic examination of the facial skeleton is crucial to exclude the presence of such injuries.

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Section: Discussionsupporting

confidence: 70%

“…Children in particular are more likely to experience dog-bite injuries compared to adults, with children aged between 5 and 9 years considered to be most at risk [1, 19]. Therefore, a considerable proportion of facial trauma in children results from dog-bite attacks and represents a significant medical and public health issue [2–4, 14].…”

Section: Discussionmentioning

confidence: 99%

Mandibular Fracture in a Child Resulting from a Dog Attack: A Case Report

Cottom

Tuopar

Ameerally

2011

Case Reports in Dentistry

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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%

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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“…We found four reports of mandible fractures and no reports for the combination of zygomatic and mandible fractures like this case. [4][5][6][7] The biomechanics and the physiopathology of these kinds of mandible fractures are one of the main points of discussion. The compression force applied in the vertical vector rests on two points: zygoma and mandible angle.…”

Section: Discussionmentioning

confidence: 99%

“…1 We reviewed the literature for pediatric facial fracture due to dog attack, and we found just four reports of mandible fracture and no reports for the combination of mandible and zygomatic fracture. [4][5][6][7] In the following case report we describe a dog bite injury in a child patient who, besides the soft tissue injuries (eyelid in this case), also presented two severe open fractures of the mandible and zygoma with an interesting biomechanical pattern analyzed later (►Fig. 1).…”

mentioning

confidence: 99%

Mandible and Zygomatic Fracture in a 2-Year-Old Patient due to Dog Bite

Baldi

Freitas

2013

Craniomaxillofacial Trauma & Reconstruction

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Dog bite injury frequently occurs in children, and many of these bites involve the facial region. On the other hand, facial fractures due to dog attacks are a rare complication, with the orbital, nasal, and maxillary bones most often affected. We present a case report of a child who suffered a double facial fracture, mandible and left zygoma, due to a dog bite. The clinical diagnosis was supported by X-rays and computed tomography, which also provided information about the characteristics of the fracture. Internal fixation was done with titanium miniplates. Finally, the pathophysiological mechanism and the biomechanics of the fracture, as well as the use of resorbable versus nonresorbable material on infants, are discussed.

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Dog bite- fracture of the mandible in a 9 month old infant: a case report

Cited by 12 publications

References 10 publications

Mandibular Fracture in a Child Resulting from a Dog Attack: A Case Report

Mandibular Fracture in a Child Resulting from a Dog Attack: A Case Report

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

Mandible and Zygomatic Fracture in a 2-Year-Old Patient due to Dog Bite

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