Facial Dog Bites: 10 Case Report

The face is the most vulnerable area in the dog bites, the disease is an infectious emergency, aesthetic and functional. we will discuss the clinical, therapeutic and evolutionary of dog bites. Our study focuses on 10 cases recorded over 3 years. The average age is 55 years with male predominance (4/1); 3 patients with psychiatric disorders, 4 are night guards, 2 are homeless and one patient had a total engine failure and dementia. The bite is superficial for 5 patients; the average consultation time for these patients is less than 12 hours, they received debridement and antibiotic prophylaxis with suture. One patient consulted 72 hours after the bite of which the review found a puncture wound to the neck, without functional impairment, he was put on antibiotics. The bite has been responsible for loss of substance in 50% of cases with an average waiting period of more than 24h for consultation; in 2 cases there was obtained a directed healing in a time of 45 days. 3 patients have lost significant lip substance; a flap reconstruction was performed in one patient after one month, the other 2 were lost to view. Facial dog bites are not uncommon and can take different clinical aspects, these are emergencies that require specialist multidisciplinary care to avoid the aesthetic, infectious or functional sequelae. The treatment is codified and seeks to avoid complications that can sometimes, if ignored, be fatal. Many accidents could be avoided by educating animal owners to potential danger their pets can represent especially for children.