Mid-Cheek Reconstruction after a Dog Bite: Case Report and Literature Review

Abstract

The incidence of animal bite injuries affecting the anatomical regions of the head and neck is notably prevalent, particularly among individuals within the younger demographic. Canine species have been identified as the primary source of the majority of bite injuries in the human population, the spectrum of injuries encompasses a range of traumatic manifestations, which may encompass uncomplicated lacerations or punctures, as well as more complex avulsions characterized by the presence or absence of accompanying tissue. The anatomical regions most frequently affected by the condition under investigation include the buccal region, nasal area, and labial region. The acquisition of comprehensive data regarding the vaccination status of both the animal and the patient is of paramount significance in the realm of medical research. Furthermore, it is imperative to duly administer prophylactic measures such as tetanus or rabies prophylaxis, contingent up on the presence of any indications warranting such interventions. The aforementioned wounds necessitate comprehensive assessment, meticulous cleansing, and, on occasion, surgical debridement or reconstruction within the confines of the operating theater. The selection of the appropriate reparative intervention is contingent upon a comprehensive assessment of the precise anatomical site and magnitude of the inflicted trauma, thereby encompassing a spectrum of potential modalities including primary closure, microsurgical replantation, dermal grafting, tissue flaps, and in rare instances, facial allograft transplantation.