Human Bite on Nose
Main Article Content
Abstract
Introduction
Human bites are notorious due to chance of infection by direct inoculation of pathogens from saliva and must be managed properly. Human bite injuries cause dilemma to the treating doctor regarding its way of management. The options of management are primary closure, delayed closure with skin/tissue grafting and conservative.
Case Report
A 43 year old male patient with a human bite injury with tissue loss on the tip of nose was admitted in hemodynamically stable condition. He was given tetanus toxoid and anti-rabies vaccination as per current guidelines. Delayed wound closure was done in 2 steps with forehead flap, in 3 weeks interval. Patient was discharged after suture removal. There was good color matching and no complications.
Discussion
Human bite injuries are mostly due to inter personal violence, alcohol intoxication and psychiatric illnesses. Multiple instances of such bite injuries have been reported. Delayed closure of bite injuries with forehead flap provides good colour and texture match as well as good flap survival due to rich vascularity.
Article Details
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References
Conlon HA. Human bites in the classroom: incidence, treatment, and complications. J Sch Nurs. 2007 Aug;23(4):197-201
Fight-Bite: Not Just a Hand Problem. Cook CP, Knox MJ, Wimberly RL, Ellis HB, Riccio AI. J Pediatr Orthop. 2014; 34(6):647-9. doi: 10.1097/BPO.0000000000000155
Herrmann B, Dettmeyer R, Banaschak S, Thyen U. Typische Bissverletzungen als Blickdiagnose. In: Herrmann B, Dettmeyer R, Banaschak S, Thyen U, eds. Kindesmisshandlung. Heidelberg: Springer; 2008. 58 pp. https://link.springer.com/book/10.1007%2F978-3-662-48844-7
WHO recommendation for ARV prophylaxis. https://www.who.int/ith/vaccines/rabies/en/
Rueff F, Bedacht R, Schury G. [Bite injury. Special situation as to clinical aspects, therapy and course of healing]. Med Welt. 1967; 12:663-8. https://www.ncbi.nlm.nih.gov/pubmed/5586321/
Brook I. Management of human and animal bite wound infection: an overview. Curr Infect Dis Rep. 2009;11(5):389-95.
Banerjee R.. Howrah : mentally challenged man bites 22, run amok on GT road, Times of India 2019, July 28
ANI. Uttar Pradesh: Drunk UP man bites snake into pieces after it bit him, Times of India 2019, July 29
Saha VP, Ghosh A, Kesarwaani S, Saha S.(2019). Forehead flap for reconstruction of orofacial defects : A tertiary care centre experience, West Bengal, India. Indian Journal of Applied Research 2019; 9(6), 51-3.