The use of low-intensity Nd:Yag laser therapy in the complex treatment of animal bite wounds on the face.Own еxperience in the management of wounds by dog bite

Abstract

This case series report describes the management of 26 patients and describes the protocol for the treatment of bite wounds. The patients underwent complex treatment, including primary surgical debridement, wound closure, tetanus prophylaxis with human tetanus immunoglobulin at a dose of 400 IU, level laser therapy (LLLT) with a short-pulse Nd:Yag laser “Aerolase Neo” (doses from 3-8 J/cm2, wavelength 1064 nm, pulse duration 650 mcs) 4 procedures, 1 week interval. The results of laser therapy are noticeable after 3-5 treatments, but treatment protocols are unique for each patient and condition. Primary correction of facial injuries from dog bites, with complex treatment, has positive results. When treating a wound from animal bites on the face, it is necessary to apply an integrated approach, surgical intervention should be applied in accordance with the criteria for aesthetic reconstructive surgery of the face. The inclusion of Nd:Yag laser in the complex of treatment procedures for animal bites leads to rapid wound healing, prevents the formation of scar tissue, and reduces inflammation and pain associated with injury. Case data have shown that Nd:Yag laser therapy is effective in open wounds from animal bites, indicating better regeneration and rapid restoration of structural and functional integrity