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Management of bite wounds in the head and neck
Bryan T Ambro1, Richard J Wright, Ryan N Heffelfinger
1Department of Otorhinolaryngology, University of Maryland Medical Center, Baltimore, MD, USA. bryanambro@yahoo.com
Facial Plastic Surgery : FPS
|November 19, 2010
Summary
Animal and human bites are common, especially on the head and neck. This review covers bite injury epidemiology, microbiology, and offers evidence-based guidance on wound closure and antibiotic treatment for facial bites.
Area of Science:
- Medical Sciences
- Infectious Diseases
- Surgical Procedures
Background:
- Bite wounds, from animals or humans, affect a significant portion of the population.
- Head and neck bites frequently necessitate emergency department visits.
- Facial bites present unique challenges due to cosmetic and functional importance and high infection risk.
Purpose of the Study:
- To review the epidemiology and microbiology of head and neck bite injuries.
- To provide evidence-based recommendations for managing these complex wounds.
- To inform clinical practice regarding surgical wound closure and antibiotic use.
Main Methods:
- Literature review of epidemiological data on bite wounds.
- Analysis of microbiological findings in head and neck bite infections.
- Synthesis of current evidence for treatment guidelines.
Main Results:
- Head and neck bites are common reasons for emergency care.
- Facial bites carry a significant risk of polymicrobial infections.
- Evidence supports specific approaches to wound management and prophylaxis.
Conclusions:
- Understanding the epidemiology and microbiology is crucial for effective bite wound management.
- Evidence-based recommendations can optimize outcomes for head and neck bite injuries.
- Timely and appropriate intervention, including antibiotics and surgical closure, is key.
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