CASE REPORT
In-hospital management and reconstructive treatment of dog bite wounds of the face region
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Wojskowy Instytut Medyczny – Państwowy Instytut Badawczy, Oddział Kliniczny Chirurgii Plastycznej, Rekonstrukcyjnej i Leczenia Oparzeń, Polska
Submission date: 2024-01-28
Final revision date: 2024-03-26
Acceptance date: 2024-03-27
Publication date: 2024-12-23
Corresponding author
Grzegorz Marek Gryszko
Wojskowy Instytut Medyczny – Państwowy Instytut Badawczy, Oddział Kliniczny Chirurgii Plastycznej, Rekonstrukcyjnej
i Leczenia Oparzeń, ul. Szaserów 128, 04-141, Warszawa, Polska
LW 2024;102(4):307-311
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ABSTRACT
Dog bite injuries typically require specialised treatment in a hospital setting. Bites in the facial area present a unique therapeutic challenge due to the complex nature of the injury, particularly when tissue loss is clinically evident. In the case presented, a 32-year-old patient was admitted to the plastic surgery department following a dog bite to the left cheek, upper lip, labial commissure, and vermilion on the left side. During hospitalisation, the patient received anti-tetanus prophylaxis and underwent an assessment for rabies risk, and the tissue defect was repaired using reconstructive techniques, resulting in a fully satisfactory outcome. The case illustrates one of the many techniques and approaches available for reconstructing tissue defects in the facial region. The treatment of facial injuries, particularly those involving the lips and oral mucosa, requires a multimodal approach. This includes rapid assessment of the situation, prevention of infectious disease transmission, careful selection of surgical and reconstructive techniques, and often psychological support.