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Updated: Oct 14, 2025

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Reconstruction After Grizzly Bear Attack in Wyoming.

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Bear attacks, though rare, are increasing globally. This case highlights severe facial and extremity injuries from a grizzly bear attack, requiring extensive reconstructive surgery and multidisciplinary care.

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head/neckplastic surgerytraumatrauma acute care

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Area of Science:

  • Traumatology
  • Wildlife Biology
  • Emergency Medicine

Background:

  • Bear attacks on humans are infrequent but show a global increase.
  • Consistent injury patterns involve the face, head, neck, chest, and upper limbs.

Observation:

  • A 59-year-old male hunter in Wyoming was attacked by a grizzly bear.
  • The patient sustained severe facial lacerations, including nasal and upper lip avulsion, and facial fractures.
  • Upper extremity injuries included soft tissue and bone damage.

Findings:

  • The patient underwent 53 operations during initial hospitalization for extensive facial reconstruction.
  • Nasal and upper lip replantation to the arm was performed.
  • Complications included pressure ulcers, bacterial infections, acute kidney injury, and urinary tract infection.

Implications:

  • This case underscores the severity of grizzly bear attack injuries and the complexity of reconstructive surgery.
  • Successful outcomes depend on coordinated multidisciplinary care and prolonged hospitalization.
  • Highlights the need for preventative measures and wilderness safety protocols.