Archives of Plastic Surgery

  • 제40권6호
  • /
  • Pages.705-710
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  • 2013
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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An Analytical Study of Mammalian Bite Wounds Requiring Inpatient Management

  • Lee, Young-Geun (Department of Plastic Surgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Jeong, Seong-Ho (Department of Plastic Surgery, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Kim, Woo-Kyung (Department of Plastic Surgery, Korea University Guro Hospital, Korea University College of Medicine)
  • 투고 : 2013.05.21
  • 심사 : 2013.08.02
  • 발행 : 2013.11.15
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초록

Background Mammalian bite injuries create a public health problem because of their frequency, potential severity, and increasing number. Some researchers have performed fragmentary analyses of bite wounds caused by certain mammalian species. However, little practical information is available concerning serious mammalian bite wounds that require hospitalization and intensive wound management. Therefore, the purpose of this study was to perform a general review of serious mammalian bite wounds. Methods We performed a retrospective review of the medical charts of 68 patients who were referred to our plastic surgery department for the treatment of bite wounds between January 2003 and October 2012. The cases were analyzed according to the species, patient demographics, environmental factors, injury characteristics, and clinical course. Results Among the 68 cases of mammalian bite injury, 58 (85%) were caused by dogs, 8 by humans, and 2 by cats. Most of those bitten by a human and both of those bitten by cats were male. Only one-third of all the patients were children or adolescents. The most frequent site of injury was the face, with 40 cases, followed by the hand, with 16 cases. Of the 68 patients, 7 were treated with secondary intention healing. Sixty-one patients underwent delayed procedures, including delayed direct closure, skin graft, composite graft, and local flap. Conclusions Based on overall findings from our review of the 68 cases of mammalian bites, we suggest practical guidelines for the management of mammalian bite injuries, which could be useful in the treatment of serious mammalian bite wounds.

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참고문헌

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피인용 문헌

  1. Self inflicted human teeth bites: a case report vol.19, pp.None, 2013, https://doi.org/10.11604/pamj.2014.19.353.4561
  2. Mammalian Bite Injuries to the Hand and Their Management vol.8, pp.None, 2013, https://doi.org/10.2174/1874325001408010194
  3. Osteomyelitis following Domestic Animal Bites to the Hand: Two Case Reports and Practical Guidelines vol.43, pp.6, 2013, https://doi.org/10.5999/aps.2016.43.6.590
  4. Reconstruction of face and scalp after dog bites in children vol.43, pp.6, 2013, https://doi.org/10.1590/0100-69912016006007
  5. Complex Wound Closure Following Mysterious and Vicious Animal Attack vol.12, pp.4, 2013, https://doi.org/10.7759/cureus.7758