%0 Journal Article
%T HEAD AND NECK INJURIES DUE TO ANIMAL ATTACKS: OUR CLINICAL EXPERIENCES
%A Koray G¨¹RSOY
%J -
%D 2019
%X Purpose: Head and neck injuries may end up with physical, functional and psychological problems besides persistent facial deformities. This study aimed to review the management of patients who were admitted to our department due to animal attack to head and neck region Material and Method: Sixteen patients who were admitted to Ankara Training and Research Hospital, Plastic, Reconstructive and Aesthetic Surgery Department between 2006-2018 due to animal attack to head and neck region and managed by surgical intervention were included in this study. Demographic features, type of injuries and type of surgical managements are reviewed in here. Results: Twenty four lesions of sixteen patients were operated. Mean age of the patients was 18.8 (3-64) and female/male ratio was 2.2/1. Most of the patients were injured due to dog attack (10/16) while others were due to donkey, bear and horse attack in order of frequency. The most injured part was perioral region (8/24) while scalp (5/24), malar (5/24), periorbital (2/24), nasal (2/24), ear (1/24) and neck (1/24) region were the others. There were fractures in three patients and fractures were found to be statistically significantly higher in adult patients compared to children (p=0.036). Seventeen of the injuries were managed by direct suturation, while six were treated with local flaps and one by free flap. Conclusion: Current management strategy in animal attacks to head and neck region consists of early management, irrigation and debridement of the wound followed by primary repair of the lesion, as prefered in the current study. The patients attacked especially by large animals should be evaluated for the presence of fractures. Primary repair, rational use of antibiotics, tetanus and rabies prophylaxis, all together seem to be effective with the least complication rates in this group of patients
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%U http://dergipark.org.tr/aeahtd/issue/47489/542101