Reconstruction of face and scalp after dog bites in children

Author:

MACEDO JEFFERSON LESSA SOARES1,ROSA SIMONE CORRÊA2,QUEIROZ MURILO NEVES DE3,GOMES TABATHA GONÇALVES ANDRADE CASTELO BRANCO3

Affiliation:

1. Asa Norte Regional Hospital, Brazil; Superior School of Health Sciences, Brazil

2. Asa Norte Regional Hospital, Brazil

3. Superior School of Health Sciences, Brazil

Abstract

ABSTRACT Objective: to evaluate the immediate reconstruction of face and scalp after canine bites in children. Methods: we conducted a prospective series of cases treated at the Emergency Unit of the Asa Norte Regional Hospital, Brasília - DF, from January 1999 to December 2014. At the time of patient admission to the emergency, the primary wound closure of the face and scalp bite was performed, regardless of the time or day of the event. The primary treatment of the bites was by means of direct suture, flaps rotation or grafting, depending on the type of wound and surgeon's decision. Results: the study comprised 146 children, with the zygomatic region and scalp being the main sites of head bites. All patients received surgical treatment within the first 24 hours after admission. There were no infectious complications in the cases studied. Conclusion: the findings suggest that the immediate closure of canine bites on the face and scalp in children is safe, even when carried out several hours after injury.

Publisher

FapUNIFESP (SciELO)

Subject

Surgery

Reference23 articles.

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2. Estudo prospectivo do fechamento primário das mordeduras caninas e humanas na face e no couro cabeludo;Macedo JLS;Rev Soc Bras Cir Plást,2006

3. Bite wound infections;Ward MA;Clin Pediatr Emerg Med,2013

4. Human fatalities resulting from dog attacks in the United States, 1979-2005;Langley RL;Wilderness Environ Med,2009

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