Management of maxillofacial injuries in bear mauling cases: a review of 20 cases
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Objectives: As the craniofacial and neck regions are prime areas of injury in bear attacks, the careful management of soft and hard tissue injuries and selection of reconstructive options is of the utmost importance. This study will review the incidence and patterns of bear mauling in eastern India reported to our department and the various modalities used for their treatment over a period of 7 years. It also documents the risks of infection in bear mauling cases and the complications that have occurred.Materials and Methods: Twenty cases were treated over the study period. Cases were evaluated for soft and hard tissue injuries including tissue loss and corresponding management in the craniofacial region. Cases were also evaluated for other associated injuries, organ damage and related complica-tions.Results: Various modalities of treatment were used for the management of victims, ranging from simple primary repairs to free tissue transfers. Sim-ple primary repairs were done in 75% of cases, while the management of the injured victims required reconstruction by local, regional or distant flaps in 25%. Free tissue transfers were performed in 15% of cases, and no cases of wound infection were detected in the course of treatment.Conclusion: Knowledge of various reconstructive techniques is essential for managing maxillofacial injuries in bear mauling cases. Modern recon-structive procedures like free tissue transfer are reliable options for reconstruction with minimal co-morbidity and dramatic improvement in treatment outcomes.
Abstract
Objectives: As the craniofacial and neck regions are prime areas of injury in bear attacks, the careful management of soft and hard tissue injuries and selection of reconstructive options is of the utmost importance. This study will review the incidence and patterns of bear mauling in eastern India reported to our department and the various modalities used for their treatment over a period of 7 years. It also documents the risks of infection in bear mauling cases and the complications that have occurred.Materials and Methods: Twenty cases were treated over the study period. Cases were evaluated for soft and hard tissue injuries including tissue loss and corresponding management in the craniofacial region. Cases were also evaluated for other associated injuries, organ damage and related complica-tions.Results: Various modalities of treatment were used for the management of victims, ranging from simple primary repairs to free tissue transfers. Sim-ple primary repairs were done in 75% of cases, while the management of the injured victims required reconstruction by local, regional or distant flaps in 25%. Free tissue transfers were performed in 15% of cases, and no cases of wound infection were detected in the course of treatment.Conclusion: Knowledge of various reconstructive techniques is essential for managing maxillofacial injuries in bear mauling cases. Modern recon-structive procedures like free tissue transfer are reliable options for reconstruction with minimal co-morbidity and dramatic improvement in treatment outcomes.
참고문헌 (13)
- Udeabor SE, "Maxillofacial fractures: etiology, pattern of presentation, and treatment in university of port harcourt teaching hospital, port harcourt, Nigeria", J Dent Surg (2014)[DOI]
- Devadiga A, "Epidemiology of maxillofacial fractures and concomitant injuries in a craniofacial unit: a retrospective study", Int J Epidemiol, 5 (2008)
- Nabi DG, "Increasing incidence of injuries and fatalities inflicted by wild animals in Kashmir", Injury, 40, pp.87~89 (2009)
- Iaizzo PA, "Wound healing during hibernation by black bears (Ursus americanus) in the wild: elicitation of reduced scar formation", Integr Zool, 7, pp.48~60 (2012)
- Rasool A, "Incidence and pattern of bear maul injuries in Kashmir", Injury, 41, pp.116~119 (2010)
- Park K, "Park’s textbook of preventive and social medicine", pp.2011, M
- Prasad SC, "Grievous temporal and occipital injury caused by a bear attack", Case Rep Otolaryngol (2013)[DOI]
- Huang AH, "Acute nasal reconstruction with forehead flap after dog bite", Ann Plast Surg, 70, pp.401~405 (2013)
- Fell MJ, "Facial injuries following hyena attack in rural eastern Ethiopia", Int J Oral Maxillofac Surg, 43, pp.1459~1464 (2014)
- Hazani R, "Microsurgical scalp reconstruction after a mountain lion attack", Ann Plast Surg, 61, pp.265~268 (2008)
- Govila A, "Primary reconstruction of a major loss of lower jaw by an animal bite using a "rib sandwich" pectoralis major island flap", Br J Plast Surg, 42, pp.101~103 (1989)
- Abrahamian FM, "Microbiology of animal bite wound infections", Clin Microbiol Rev, 24, pp.231~246 (2011)
- Dhar SA, "Pattern of orthopaedic injuries in bear attacks: report from a tertiary care centre in Kashmir", Injury, 39, pp.249~255 (2008)