Treatment of oral and maxillofacial dog bites in children
10.12016/j.issn.2096-1456.2019.08.007
- Author:
ZHANG Tonghan
1
;
LIU Xiaoling
2
;
WU Jinan
1
;
CHEN Jueyao
1
;
SU Kui
1
;
ZHENG Qiaoyi
1
Author Information
1. Department of Stomatology, Affiliated Zhongshan Hospital of Sun Yat-sen University
2. Department of Medical Intensive Care Unit, Affiliated Zhongshan Hospital, Sun Yat-sen University
- Publication Type:Journal Article
- Keywords:
dog bite;
facial trauma;
children;
wound debridement;
primary suture;
rabies;
vaccine;
passive immunization
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2019;27(8):510-514
- CountryChina
- Language:Chinese
-
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.
- Full text:儿童口腔颌面部狗咬伤的治疗.pdf
