A study of primary closure of human bite injuries to the face
A study of primary closure of human bite injuries to the face
复制标题
DOI：
10.1016/s0278-2391(97)90695-9
复制
发表时间：
1997-05-01
影响因子：
1.9
通讯作者：
Bankas, DO
中科院分区：
文献类型：
--
作者：
Donkor, P;Bankas, DO
目的：本研究评价了1995年5月至1996年4月期间对面部人咬伤的管理。患者和方法：在此期间，收集了30例人咬伤患者的数据。收集并分析了这些信息。采用标准化手术治疗，包括彻底清创伤口，然后在就诊当天通过直接缝合、局部皮瓣或植皮进行一期缝合。大多数病例在局部麻醉下治疗，患者接受破伤风预防和1周抗生素治疗，术后1周除植皮外拆除缝线，结果：男21例，女9例，年龄17 ~ 55岁，平均31.8岁。66%的咬伤涉及嘴唇，损伤的持续时间从1到4天不等，在27例（90%），伤口愈合是完全的时间的缝线remove.Conclusion：结果表明，立即关闭人类咬伤是安全的，即使是旧伤。
Purpose: This study evaluated the management of human bite injuries to the face during the period from May 1995 to April 1996,Patients and Methods: Data on 30 patients presenting with human bite injuries during this period were collected on specially designed forms. The information was pooled and analyzed. A standardized surgical treatment consisting of thorough debridement of the wound followed by primary closure either by direct suturing, a local flap, or skin grafting on the day of presentation was used, Most of the cases were treated under local anesthesia, Patients were prescribed tetanus prophylaxis and a course of antibiotics for 1 week, Suture removal was done 1 week postoperatively except for the skin grafts, which were uncovered at 10 days postoperation,Results: There were 21 males and 9 females ranging in age between 17 and 55 years, with a mean age of 31.8 years. Sixty-six percent of the bites involved the lips, The duration of injury before presentation ranged from 1 to 4 days, In 27 of the cases (90%), wound healing was complete at the time of suture removal.Conclusion: The results indicate that immediate closure of human bite injuries is safe, even with old injuries.