Facial Plast Surg 2010; 26(6): 456-463
DOI: 10.1055/s-0030-1267720
© Thieme Medical Publishers

Management of Bite Wounds in the Head and Neck

Bryan T. Ambro1 , Richard J. Wright1 , Ryan N. Heffelfinger2
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology–Head and Neck Surgery, University of Maryland Medical Center, Baltimore, Maryland
  • 2Deparment of Otolaryngology–Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania
Further Information

Publication History

Publication Date:
17 November 2010 (online)

ABSTRACT

An estimated 50% of people in the United States will incur an animal or human bite wound at least once in their lifetimes. Although the majority of these individuals do not seek medical attention, bite wounds to the head and neck are a common reason for emergency department visits. Facial bites are complex injuries due to the functional and cosmetic nature of the area, as well as the unique polymicrobial infection potential that exists. We present a review of the epidemiology and microbiology of bite injuries to the head and neck and provide evidence-based recommendations regarding surgical wound closure and antibiotic therapy.

REFERENCES

  • 1 Griego R D, Rosen T, Orengo I F, Wolf J E. Dog, cat, and human bites: a review.  J Am Acad Dermatol. 1995;  33 1019-1029 Review
  • 2 Kesting M R, Hölzle F, Pox C, Thurmüller P, Wolff K D. Animal bite injuries to the head: 132 cases.  Br J Oral Maxillofac Surg. 2006;  44 235-239
  • 3 Epstein J B, Scully C. Mammalian bites: risk and management.  Am J Dent. 1992;  5 167-171
  • 4 Ruskin J D, Laney T J, Wendt S V, Markin R S. Treatment of mammalian bite wounds of the maxillofacial region.  J Oral Maxillofac Surg. 1993;  51 174-176
  • 5 Garrard J, Leland N, Smith D K. Epidemiology of human bites to children in a day-care center.  Am J Dis Child. 1988;  142 643-650
  • 6 Goldstein E JC. Bite wounds and infection.  Clin Infect Dis. 1992;  14 633-638
  • 7 Goldstein E JC, Richwald G A. Human and animal bite wounds.  Am Fam Physician. 1987;  36 101-109
  • 8 Taplitz R A. Managing bite wounds. Currently recommended antibiotics for treatment and prophylaxis.  Postgrad Med. 2004;  116 49-52 55-56 59
  • 9 Stefanopoulos P K, Tarantzopoulou A D. Management of facial bite wounds.  Dent Clin North Am. 2009;  53 691-705, vi
  • 10 Stierman K L, Lloyd K M, De Luca-Pytell D M, Phillips L G, Calhoun K H. Treatment and outcome of human bites in the head and neck.  Otolaryngol Head Neck Surg. 2003;  128 795-801
  • 11 Centers for Disease Control and Prevention .Rabies in the US and around the world. Available at: http://www.cdc.gov/rabies/location/index.html Accessed May 2, 2010
  • 12 Holst E, Rollof J, Larsson L, Nielsen J P. Characterization and distribution of Pasteurella species recovered from infected humans.  J Clin Microbiol. 1992;  30 2984-2987
  • 13 Morgan M. Hospital management of animal and human bites.  J Hosp Infect. 2005;  61 1-10
  • 14 Brook I. Management of human and animal bite wounds: an overview.  Adv Skin Wound Care. 2005;  18 197-203
  • 15 Lackmann G M, Draf W, Isselstein G, Töllner U. Surgical treatment of facial dog bite injuries in children.  J Craniomaxillofac Surg. 1992;  20 81-86
  • 16 Venter T HJ. Human bites of the face. Early surgical management.  S Afr Med J. 1988;  74 277-279
  • 17 Hussain G, Thomson S, Zielinski V. Nasal amputation due to human bite: microsurgical replantation.  Aust N Z J Surg. 1997;  67 382-384
  • 18 Devauchelle B, Badet L, Lengelé B et al.. First human face allograft: early report.  Lancet. 2006;  368 203-209
  • 19 Guy R J, Zook E G. Successful treatment of acute head and neck dog bite wounds without antibiotics.  Ann Plast Surg. 1986;  17 45-48

Bryan T AmbroM.D. M.S. 

Assistant Professor, Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology–Head and Neck Surgery, University of Maryland Medical Center

16 South Eutaw Street, Suite 500, Baltimore, MD 21201

Email: bryanambro@yahoo.com

    >