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Published on: September 7, 2018
[Surgical treatment in severe dog bites injures in pediatric children]
O Suárez1, J C López-Gutiérrez, L Burgos
1Servicio de Cirugía Plástica, Departamento de Cirugía Pediátrica, Hospital Universitario La Paz, Madrid. queminfantil.hulp@salud.madrid.org
Introduction:
We report a retrospective study of dog-bitten-children who underwent surgical treatment in our department between 1995 and 2005. We checked the different surgical techniques used to cover the defect as well as short and long-term functional and aesthetic results, considering also infection and hospital stay.
Materials And Methods:
During this period of time, 21 patients received surgical treatment because of dogs bites. Surgical approach was decided considering location and severity of lessions.
Results:
Our serie consists of 12 males and 9 females. Head (71%) and extremities (23%) were the most frequent affected areas. Primary closure was carried out in 18 cases and in the remaining 3 artificial skin or tissue flaps were needed; in these 3 cases the resulting scar was later removed. Surgical infection occurred in less than 10% of the children and in all cases, long-term aesthetic results were considered excellent.
Conclusions:
Primary closure of dog-bites-injures improves functional and aesthetic results and reduces the surgical procedures in those patients.
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