About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Report: Facial Dog Bites in Children may Require Repeated Plastic Surgery

by Rukmani Krishna on April 27, 2013 at 12:01 AM
Font : A-A+

 Report: Facial Dog Bites in Children may Require Repeated Plastic Surgery

According to a report, dog bites to the face are a relatively common injury in young children, and often require repeated plastic surgery procedures to deal with persistent scarring. The report can be found in the March Journal of Craniofacial Surgery, published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

In the study, Dr. Barry L. Eppley of Indiana University Health North Hospital, Carmel, and Dr. Arno Rene Schelich of Hans Privatklinikum, Graz, Austria, review a ten-year experience of the common dog bites of the face in children. "Regardless of the severity of the trauma, most dog bite injuries result in permanent scars, and secondary revision surgery is frequently needed," the researchers write.

Advertisement

Dog Bites in Children—Patient Characteristics From 1995 to 2005, Dr. Eppley treated 105 children with dog bits of the face, scalp, and neck. The children's average age was about six years—the youngest was 6 weeks and the oldest 11.5 years. In contrast to previous studies showing that most dog bites occur in boys, Dr. Eppley's patients were about equally divided between girls and boys.

In 95 percent of cases, the dog was known to the patient and family—belonging either to the family or to a friend, neighbor, etc. When the breed was known, the most common was Pit Bull, followed by Chow, German Shepherd, and Doberman Pinscher. Most of the bites were classified as "provoked," occurring when the child was playing with, petting, or otherwise interacting with the dog.
Advertisement

In 90 percent of children, the bites caused a combination of crush, laceration, and shear injuries. However, in most cases the wound could simply be closed (ie, with stitches), with no significant risk of infection. Some bites required skin grafting or other reconstructive surgery. One child developed an infection and one was left with permanent injury to the facial nerve.

High Rate of 'Scar Revision' Surgery In more than three-fourths of cases, the child underwent additional "scar revision" surgery in an attempt to improve the aesthetic results. About one-fourth of patients needed a second or even third revision surgery.

More than one-third of cases involved legal action, either against the dog's owner or insurance companies. Because of the high litigation rate and possible denial of insurance claims for reconstructive procedures, Drs Eppley and Schleich advise surgeons to keep meticulous records, including photographs, of dog bite cases.

Dog bites are a common in children, with many of these injuries involving the head and neck. The new study highlights the characteristics of facial dog bites in children, including the young age of the patients and the fact that most bites are "provoked." The researchers strongly suggest that young children be kept away from "high-risk" breeds.

"Even with favorable results from scar revisions, the patient and family may still regard the scars as a permanent disfigurement," Drs. Eppley and Schleich write. They suggest that plastic and craniofacial surgeons treating dog bite injuries in children should advise parents about the possible need for further surgery for scar revision, and provide counseling to "align expectations with expected surgical outcomes."

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Advertisement
News Category
What's New on Medindia
Top 7 Benefits of Good Oral Hygiene
Healthy and Safer Thanksgiving 2021
Long-Term Glycemic Control - A Better Measure of COVID-19 Severity
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Mandibulofacial Dysostosis Height and Weight-Kids Tummy Tuck or Abdominoplasty Rhinoplasty Berries for a Healthy and Beautiful You Animal Bites Fleabites 

Recommended Reading
Nicaragua Sees The Launch Of New Plastic Surgery Technique
A novel plastic surgery method for Latin America was presented by a subsidiary of Nicaraguan ......
Fat Grafting Is The New Tool In Reconstructive Plastic Surgery
According to a study fat grafting, the process of taking fat from one area of the body and ......
Animal Bites
Animal bites are common in humans. Bites caused by domestic pets are not fatal unless they become .....
Berries for a Healthy and Beautiful You
Antioxidants in the form of small berries packed with wonderful benefits…Find out how these tiny ber...
Mandibulofacial Dysostosis
Mandibulofacial Dysostosis refers to a group of head and neck defects that are often inherited as a ...
Rhinoplasty
Want a Roman nose? Travel abroad and explore the option of having surgery done at affordable prices...
Tummy Tuck or Abdominoplasty
Abdominoplasty (tummy tuck) is a cosmetic procedure that helps to tone and firm up the abdomen....

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use