Human Bite on Nose

Introduction Human bites are notorious due to chance of infection by direct inoculation of pathogens from saliva and must be managed properly. Human bite injuries cause dilemma to the treating doctor regarding its way of management. The options of management are primary closure, delayed closure w...

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Main Authors: Prasit Biswas, Shriyash Sinha, Somnath Saha
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2019-12-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/18
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author Prasit Biswas
Shriyash Sinha
Somnath Saha
author_facet Prasit Biswas
Shriyash Sinha
Somnath Saha
author_sort Prasit Biswas
collection DOAJ
description Introduction Human bites are notorious due to chance of infection by direct inoculation of pathogens from saliva and must be managed properly. Human bite injuries cause dilemma to the treating doctor regarding its way of management. The options of management are primary closure, delayed closure with skin/tissue grafting and conservative. Case Report                                             A 43 year old male patient with a human bite injury with tissue loss on the tip of nose was admitted in hemodynamically stable condition. He was given tetanus toxoid and anti-rabies vaccination as per current guidelines.  Delayed wound closure was done in 2 steps with forehead flap, in 3 weeks interval. Patient was discharged after suture removal. There was good color matching and no complications. Discussion Human bite injuries are mostly due to inter personal violence, alcohol intoxication and psychiatric illnesses. Multiple instances of such bite injuries have been reported. Delayed closure of bite injuries with forehead flap provides good colour and texture match as well as good flap survival due to rich vascularity.
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spelling doaj.art-d09e98bdd7354b59b2b6af8325872e962024-03-02T14:07:44ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072019-12-0127310.47210/bjohns.2019.v27i3.18Human Bite on NosePrasit Biswas0Shriyash Sinha1Somnath Saha2Calcutta National Medical CollegeCalcutta National Medical CollegeCalcutta National Medical CollegeIntroduction Human bites are notorious due to chance of infection by direct inoculation of pathogens from saliva and must be managed properly. Human bite injuries cause dilemma to the treating doctor regarding its way of management. The options of management are primary closure, delayed closure with skin/tissue grafting and conservative. Case Report                                             A 43 year old male patient with a human bite injury with tissue loss on the tip of nose was admitted in hemodynamically stable condition. He was given tetanus toxoid and anti-rabies vaccination as per current guidelines.  Delayed wound closure was done in 2 steps with forehead flap, in 3 weeks interval. Patient was discharged after suture removal. There was good color matching and no complications. Discussion Human bite injuries are mostly due to inter personal violence, alcohol intoxication and psychiatric illnesses. Multiple instances of such bite injuries have been reported. Delayed closure of bite injuries with forehead flap provides good colour and texture match as well as good flap survival due to rich vascularity.https://bjohns.in/journal3/index.php/bjohns/article/view/18Surgical FlapsForeheadRhinoplasty;NoseBites, Human
spellingShingle Prasit Biswas
Shriyash Sinha
Somnath Saha
Human Bite on Nose
Bengal Journal of Otolaryngology and Head Neck Surgery
Surgical Flaps
Forehead
Rhinoplasty;
Nose
Bites, Human
title Human Bite on Nose
title_full Human Bite on Nose
title_fullStr Human Bite on Nose
title_full_unstemmed Human Bite on Nose
title_short Human Bite on Nose
title_sort human bite on nose
topic Surgical Flaps
Forehead
Rhinoplasty;
Nose
Bites, Human
url https://bjohns.in/journal3/index.php/bjohns/article/view/18
work_keys_str_mv AT prasitbiswas humanbiteonnose
AT shriyashsinha humanbiteonnose
AT somnathsaha humanbiteonnose