Archives of Plastic Surgery

  • 제35권2호
  • /
  • Pages.165-168
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  • 2008
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
권호 표지

개에 의한 교상의 임상 분석

Clinical Analysis of Dog Bite Injuries

  • 김재원 (인제대학교 일산백병원 성형외과학교실) ;
  • 김용규 (인제대학교 일산백병원 성형외과학교실) ;
  • 정성모 (인제대학교 일산백병원 성형외과학교실)
  • Kim, Jae Won (Department of Plastic and Reconstructive Surgery, College of Medicine, Inje University Ilsan Paik Hospital) ;
  • Kim, Yong Kyu (Department of Plastic and Reconstructive Surgery, College of Medicine, Inje University Ilsan Paik Hospital) ;
  • Chung, Sung Mo (Department of Plastic and Reconstructive Surgery, College of Medicine, Inje University Ilsan Paik Hospital)
  • 투고 : 2007.11.29
  • 발행 : 2008.03.10
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초록

Purpose: The dog bite injury is expected to increase as westernizing lifestyle and the number of pet raisers increase. The bite injuries may cause serious sequelae. The purpose of this study is to contributes to establish a suitable management and treatment principle for domestic situation with a clinical analysis data of the dog bite injuries. Methods: We reviewed the hospital records of 76 patients with dog bite injuries who were treated in the emergency unit or out patient department of our hospital from January 2000 to May 2006. Results: The majority of patients were children less than 10 years of age, 21 case(27.6%). Injuries occurred most often in May and 14 patients(18.4%) were bitten by the kinds of Cockerspaniel. By Lackmann's classification, 36 patients(47.4%) had Stage I injuries, 27 patients (35.5%) Stage II, 11 patients(14.5%) Stage III and 2 patients(2.6%) Stage IVa. The most frequent injury site was the head and neck area with 55 cases(72.4%). Also, 58 cases(76.3%) were received the initial treatment within 30 minutes after being bitten and the most of case except emergency operation repaired within 3 days.Conclusion: The dog bite injuries increased by more than 20% every year over the study period and it says that it may continue to increase more in the future. However, There are little report or literature for suitable management and treatment principle for domestic situation. The authors think this clinical analysis data and treatment experience can be useful for establishing a suitable treatment principle for domestic situation.

키워드

과제정보

연구 과제 주관 기관 : 인제대학교

참고문헌

  1. Schultz RC, McMaster WC: The treatment of dog bite injuries, especially those of the face. Plast Reconstr Surg 49: 494, 1972 https://doi.org/10.1097/00006534-197205000-00003
  2. Calkins CM, Bensard DD, Partrick DA, Karrer FM: Life-threatening dog attacks: a devastating combination of penetrating and blunt injuries. J Pediatr Surg 36: 1115, 2001 https://doi.org/10.1053/jpsu.2001.25670
  3. Lackmann GM, Draf W, Isselstein G, Töllner U: Surgical treatment of facial dog bite injuries in children. J Craniomaxillofac Surg 20: 81, 1992 https://doi.org/10.1016/S1010-5182(05)80472-X
  4. Bernardo LM, Gardner MJ, Amon N: Dog bites in children admitted to Pennsylvania trauma centers. Int J Trauma Nurs 4: 121, 1998 https://doi.org/10.1016/S1075-4210(98)90001-3
  5. Mcheik JN, Vergnes P, Bondonny JM: Treatment of facial dog bite injuries in children: a retrospective study. J Pediatr Surg 35: 580, 2000 https://doi.org/10.1053/jpsu.2000.0350580
  6. Kesting MR, Holzle F, Pox C, Thurmüller P, Wolff KD: Animal bite injuries to the head: 132 cases. Br J Oral Maxillofac Surg 44: 235, 2006 https://doi.org/10.1016/j.bjoms.2005.06.015
  7. Park SC, Jung H, Oh YK, Jo YK, So KS, Park HJ, Oh HK, Ryu SY: Surgical treatment of facial dog bite injuries in a child: report of a case. J Korean Assoc Oral Maxillofac Surg 25: 91, 1999
  8. Akhtar N, Smith MJ, McKirdy S, Page RE: Surgical delay in the management of dog bite injuries in children, does it increase the risk of infection? J Plast Reconstr Aesthet Surg 59: 80, 2006 https://doi.org/10.1016/j.bjps.2005.05.005