Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI – 0.5
Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

Download PDF

Dental and Medical Problems

2017, vol. 54, nr 1, January-March, p. 21–27

doi: 10.17219/dmp/68379

Publication type: original article

Language: English

Download citation:

  • BIBTEX (JabRef, Mendeley)
  • RIS (Papers, Reference Manager, RefWorks, Zotero)

Creative Commons BY-NC-ND 3.0 Open Access

Animal related facial trauma

Urazy twarzy wywołane przez zwierzęta

Aneta Neskoromna-Jędrzejczak1,A,E,F, Bogusław Antoszewski2,E,F, Katarzyna Bogusiak1,A,B,C,D

1 Department of Craniomaxillofacial and Oncological Surgery, Medical University of Lodz, Łódź, Poland

2 Department of Plastic, Reconstructive and Aesthetic Surgery, Medical University of Lodz, Łódź, Poland

Abstract

Background. According to ICD-10 classification, animal related injuries may result from being bitten or hit, not to mention being stung or crushed by an animal.
Objectives. The aim of the study is to analyze and characterize animal related injuries.
Material and Methods. 35 patients (13 men and 22 women) treated at Craniomaxillofacial and Oncological Surgery Department in MU of Lodz between 2004 and 2012 due to animal related injuries were enrolled into the study. The age of patients ranged between 15 and 75 years. A retrospective analysis focusing on medical documentation enabled us to collect data concerning the following: age of patients, gender of patients, animal that caused the injury, the site of the accident, alcohol consumption by the injured individual prior to the incident, as well as the period of hospitalization. Additionally, the FISS scale (Facial Injury Severity Scale) was used to evaluate the severity of facial injuries.
Results. Results lead to observations making it possible to declare that men suffered from injuries reported as severe according to the FISS scale much more frequently than women. More severe injuries also occurred significantly more often in agricultural farms. Injuries caused by large home animals are related with the incidence of the so-called high-energy injuries and stand as frequent multi-organ and multi-site injuries.
Conclusion. Animal related injuries are often multi-organ and multi-site injuries that require specialist treatment. More severe injuries were observed both in the masculine group and within the area of agricultural farms. The greater value of the FISS scale was associated with a longer period of hospitalization. Alcohol consumption is emphasized as a factor prompting the attack of the animal, as well as animal aggression against a human being.

Key words

animal related injuries, face trauma, Facial Injury Severity Scale

Słowa kluczowe

urazy odzwierzęce, uraz twarzy, Skala Ciężkości Urazów Twarzy

References (48)

  1. Abu-Zidan FM, Hefny AF, Eid HO, Bashir MO, Branicki FJ. Camel-related injuries: Prospective study of 212 patients. World J Surg. 2012;36:2384–2389.
  2. Shafaat R, Gh N, Manzoor A, Bashir A. Injuries from bear (Ursus thibetanus) attacks in Kashmir. Turk J Trauma Emerg Surg. 2009;15:130–134.
  3. Adams A, Suton J, Elixhauser A. Emergency department visits and hospitalization associated with animal injuries. 2009. HCUP Statistical Brief 134, 2012, May.
  4. Holmquist L, Elixhauser A. Emergency department visit and inpatient stays involving dog bites, 2008. Agency for Healthcare Research and Quality, Rockville, 2010, November.
  5. Sacks JJ, Sinclair L, Gilchrist J, Golab GC, Lockwood R. Breeds of dogs involved in fatal human attacks in the United States between 1979 and 1998. J Am Vet Med Assoc. 2000;15:836–840.
  6. Accidents at work, occupational diseases of farmers and preventive actions of KRUS in 2012. Kasa Rolniczego Ubezpieczenia Społecznego (KRUS). Warszawa, 2013.
  7. Rzepecka-Woźniak E. Fatal dog bites. Arch Med Sąd Krym. 2006;56:
  8. Manowska B, Arkuszewski P, Tyndorf M. Review of post-traumatic injuries in patients who received ambulatory emergency treatment. Czas Stomatol. 2009;62:134–140 [in Polish].
  9. Bagheri SC, Dierks EJ, Kademani D, et al. Application of a facial injury severity scale in craniomaxillofacial trauma. J Oral Maxillofac Surg. 2006;64:408–414.
  10. Chomel BB, Trotignon J. Epidemiologic surveys of dog and cat bites in the Lyon area, France. Eur J Epidemiol. 1992;8:619–624.
  11. Ugboko VI, Olasoji HO, Ajike SO, Amole AOD, Ogundipe OT. Facial injuries caused by animals in northern Nigeria. Br J Oral Maxillofac Surg. 2002;40:433–437.
  12. Alavi SM, Alavi L. Epidemiology of animal bites and stings in Khuzestan, Iran, 1997–2006. J Infect Public Health. 2008;1:51–55.
  13. Nogalski A, Jankiewicz L, Ćwik G, Karski J, Matuszewski L. Animal related injuries treated at the Department of Trauma and Emergency Medi-cine, Medical University of Lublin. Ann Agric Environ Med. 2007;14:57–61.
  14. MacBean CE, Taylor DM, Ashby K. Animal and human bite injuries in Victoria 1998–2004. Med J Aust. 2007;186:38–40.
  15. Weis HB, Friedman DI, Coben JH. Incidence of dog bite injuries treated in emergency departments. JAMA 1998;279:51–53.
  16. Hon KL, Fu CC, Chor CM, Tang PS, Leung TF, Man CY. Issues associated with dog bite injuries in children and adolescents assessed at the emergency department. Pediatr Emerg Care. 2007;23:
  17. Ndon JA, Jack GV, Wehrenberg WB. Incidence of dog bites in Milwaukse, Wis. Wis Med J. 1996;95:237–241.
  18. Shetty RA, Chaturvedi S, Singh Z. Profile of animal bite cases in Pune. J Commun Dis. 2005;37:66–72.
  19. Dog bite prevention. Injury prevention & control: Home and recreational safety. Centers for Disease Control and Prevention, 2009, May.
  20. Injuries associated with dog bites and dog attacks. Canadian Hospitals Injury Reporting and Prevention Program – CHIRPP database, 1996.
  21. Patronek GJ, Sacks JJ, Delise KM, Cleary DV, Marder AR. Co-occurrence of potentially preventable factors in 256 dog bite-related fatalities in the United States (2000–2009). J Am Vet Med Assoc. 2013;243:1726–1736.
  22. Wolff KD. Management of animal bite injuries of the face: Experience with 94 patients. J Oral Maxillofac Surg. 1998;56:838–843.
  23. Callaham M. Prophylactic antibiotics in common dog bite wounds: A controlled study. Ann Emerg Med. 1980;9:410–414.
  24. Correira K. Managing dog, cat, and human bite wounds. JAAPA. 2003;16:28–37.
  25. Scheithauer MO, Rettinger G. Bite injuries in the head and neck area. HNO 1997;45:891–897.
  26. Goldstein EJ. Current concepts on animal bites: Bacteriology and therapy. Curr Clin Top Infect Dis. 1999;19:99–111.
  27. Metzger R, Kanz KG, Lackner CK, Mutschler W. After cat bite antibiotics are obligatory acute management of bite injuries. MMW Fortschr Med. 2002;144:46–49.
  28. Dire DJ, Hogan DE, Walker JS. Prophylactic oral antibiotics for low risk dog bite wounds. Pediatr Emerg Care. 1992;8:194–199.
  29. Baxter DN. The deleterious effects of dogs on human health: Dog-associated injuries. Commun Med. 1984;6:29.
  30. Moore F. I’ve just been bitten by a dog. BMJ. 1997;314:88–89.
  31. Morgan M. Hospital management of animal and human bites. J Hosp Infect. 2005;61:41–50.
  32. Weber DJ, Hansen AR. Infections resulting from animal bites. Infect Dis Clin North Am. 1991;5:663–680.
  33. Brook I. Microbiology of human and animal bite wounds. Am Fam Phys. 1987;141:703–705.
  34. Goldstein EJC, Barones MF, Miller TA. Eikenella corrodens in hand infections. J Hand Surg (Am). 1983;8:563–567.
  35. Lion C, Lozniewski A, Rosner V, Weber M. Lung abscess due to beta-lactamase producing Pasteurella multocida. Clin Infect Dis. 1999;29:1345–1346.
  36. Goldstein EJ, Citron DM. Comparative susceptibilities of 173 aerobic and anaerobic bite wound isolates to sparfloxacin, temafloxacin, clar-ithromycin and older agents. Antimicrob Agents Chemother. 1993;37:1150–1153.
  37. Harris D, Imperato P, Oken B. Dog bites;an unrecognised epidemic. Bull N Y Acad Med. 1974;50:981–984.
  38. Sacks JJ, Lockwood R, Hornreich J, Sattin RW. Fatal dog attacks 1981–94. Pediatrics 1996;9:891–895.
  39. Barnham M. Once bitten twice shy; the microbiology of animal bites. Rev Med Microbiol. 1991;2:231–236.
  40. Wright JC. Reported cat bites in Dallas. Characteristics of the cats, the victims and the attack events. Public Health Rep. 1990;105:420–424.
  41. Javaid M, Feldberg L, Gipson M. Primary repair of dog bites to the face: 40 cases. J R Soc Med. 1998;3:414–416.
  42. Burt JD, Burns AJ, Muzaffar AR, Byrd HS, Hobar PC, Beran SJ. Total soft-tissue reconstruction of the middle and lower face with multiple sim-ultaneous free flaps in a pediatric patient. Plast Reconstr Surg. 2000;105:2440–2447.
  43. Lengele BG, Testelin S, Bayet B, Devauchelle B. Total lower lip functional reconstruction with a prefabricated gracilis muscle free flap. Int J Oral Maxillofac Surg. 2004;33:396–401.
  44. Morris JA Jr, MacKenzie EJ, Damiano AM, Bass SM. Mortality in trauma patients: The interaction between host factors and severity. J Trauma. 1990;30:1476–1482.
  45. Presutti RJ. Bite wounds. Early treatment and prophylaxis against infectious complications. Postgrad Med. 1997;101:243–244, 246–252, 254.
  46. Wiggins P, Schenker MB, Green R, Samuels S. Prevalence of hazardous exposures in veterinary practice. Am J Ind Med. 1989;16:55–66.
  47. Busch HM Jr, Cogbill TH, Landercasper J, Landercasper BO. Blunt bovine and equine trauma. J Trauma. 1986;26:559–560.
  48. Conrad L. The maul of the wild. Animal attacks can produce significant trauma. Emerg Med Serv. 1994;23:71–72, 76.