Journal of Prevention and Treatment for Stomatological Diseases ›› 2019, Vol. 27 ›› Issue (8): 510-514.doi: 10.12016/j.issn.2096-1456.2019.08.007

• Cinical Study • Previous Articles     Next Articles

Treatment of oral and maxillofacial dog bites in children

ZHANG Tonghan1,LIU Xiaoling2,WU Jinan1(),CHEN Jueyao1,SU Kui1,ZHENG Qiaoyi1   

  1. 1. Department of Stomatology, Affiliated Zhongshan Hospital of Sun Yat-sen University, Zhongshan 528400, China;
    2. Department of Medical Intensive Care Unit, Affiliated Zhongshan Hospital, Sun Yat-sen University, Zhongshan 528400, China.
  • Received:2019-01-16 Revised:2019-03-24 Online:2019-08-20 Published:2019-08-16
  • Contact: Jinan WU E-mail:gdwujn@163.com

Abstract:

Objective To summarize experience treating dog bites in the oral and maxillofacial regions of children and provide a reference for clinical practice. Methods Nineteen children with dog bite wounds in the maxillofacial region were treated from July 2011 to June 2018 with primary debridement and suturing. A rabies vaccine, tetanus vaccine and human immunoglobulin as a passive immune agent were given via intramuscular injection. Anti-inflammatory therapy with amoxicillin and clavulanate potassium or other antibiotics. Follow-up observation and a retrospective analysis of the treatment effect were carried out. Results After treatment, among the 19 pediatric patients, 18 cases showed primary healing and 1 case showed secondary healing. The follow-up period ranged from six months to seven and a half years. No cases of rabies occurred. Conclusion For the treatment of patients with maxillofacial dog bite wounds, the first stage debridement and suture can reduce the scar after operation and is beneficial to the recovery of face.

Key words: dog bite, facial trauma, children, wound debridement, primary suture, rabies, vaccine, passive immunization

CLC Number: 

  • R782

Figure 1

Images of a 3-year-old boy before and after one-stage debridement after being bitten by a dog in the maxillofacial region"

Figure 2

Images of a 4-year-old boy before and after one-stage debridement after being bitten by a dog in the maxillofacial region"

Figure 3

Images of a 1-year-old boy before and after one-stage debridement after being bitten by a dog in the maxillofacial region"

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doi: 10.1097/SCS.0b013e31821d4c3a
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