Management of extensive facial injury resulting from canine bite in a pediatric patient: A clinical case report




Wounds an Injuries; Face; Reconstructive Surgical Procedures.


Trauma in childhood and adolescence is an important factor in morbidity and mortality, being a huge public health problem. Among the facial traumas in children, animal bites stand out, mainly canine. And this type of injury results in complex facial trauma, which can have a functional and aesthetic involvement, as well as occurring in polymicrobial infections. Male patient, 8 years old, attended the Hospital da Restauração in Recife / Pernambuco, victim of a canine bite with extensive blunt lesion in the region of the labial commissure on the left side. The treatment instituted in this first moment was by suturing the entire wound and referring for rabies vaccination after three days. Post-operative guidelines were given for daily dressings, return in 10 days for suture removal, return for monitoring of rabies vaccination, rest for 10 days and oral hygiene guidance. The trauma caused by canine bite is defined as a public health problem that mostly affects the pediatric population. Thus, it is necessary to establish due attention to the treatment and follow-up of these patients, following the necessary care protocols, also promoting the control of potential complications that arise from injuries of this nature.


Alencar, M. G. M. D., Bortoli, M. M. D., Almeida, H. C. R. D., Moraes, P. K. M. D., Lima, N. R. D., & Vasconcelos, B. C. D. E. (2015). Reconstrução de lesão em lábio superior por mordedura animal em criança. Revista de Cirurgia e Traumatologia Buco-maxilo-facial, 15(4), 53-58.

Carvalho, C. C., & da Silva, B. T. F. (2007). Características epidemiológicas de acidentes por mordedura de cão atendidos em unidade básica de saúde no nordeste do Brasil. Revista Brasileira em Promoção da Saúde, 20(1), 17-21.

Cavalcanti, A. L., Porto, E., Dos Santos, B. F., Cavalcanti, C. L., & Cavalcanti, A. (2017). Facial dog bite injuries in children: A case report. International journal of surgery case reports, 41, 57–60.

Cohen-Manheim, I., Siman-Tov, M., Radomislensky, I., Peleg, K., & Israel Trauma Group (2018). Epidemiology of hospitalizations due to dog bite injuries in Israel, 2009-2016. Injury, 49(12), 2167–2173.

De Klerk, P., Van Dijk, M., & Van As, A. B. (2016). Treatment and outcome of unusual animal bite injuries in young children. South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 106(2), 206–209.

Drumright, B., Borg, B., Rozzelle, A., Donoghue, L., & Shanti, C. (2020). Pediatric dog bite outcomes: infections and scars. Trauma surgery & acute care open, 5(1), e000445.

Eppley, B. L., & Schleich, A. R. (2013). Facial dog bite injuries in children: treatment and outcome assessment. The Journal of craniofacial surgery, 24(2), 384–386.

Essig, G. F., Jr, Sheehan, C. C., Niermeyer, W. L., Lopez, J. J., & Elmaraghy, C. A. (2019). Treatment of Facial Dog Bite Injuries in the Emergency Department Compared to the Operating Room. OTO open, 3(3), 2473974X19858328.

Essig, G. F., Jr, Sheehan, C., Rikhi, S., Elmaraghy, C. A., & Christophel, J. J. (2019). Dog bite injuries to the face: Is there risk with breed ownership? A systematic review with meta-analysis. International journal of pediatric otorhinolaryngology, 117, 182–188.

Foster, M. D., & Hudson, J. W. (2015). Contemporary update on the treatment of dog bite: injuries to the oral and maxillofacial region. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 73(5), 935–942.

Heitz, C., Louzada, G. P., Conci, R. A., Rodrigues, R. L., & Fritscher, G. G. (2018). Primary Repair of a Complex Panfacial Fracture by Dog Bite. Plastic and reconstructive surgery. Global open, 6(4), e1719.

Lackmann, G. M., Draf, W., Isselstein, G., & Töllner, U. (1992). Surgical treatment of facial dog bite injuries in children. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery, 20(2), 81–86.

Macedo, J. L., Rosa, S. C., Queiroz, M. N., & Gomes, T. G. (2016). Reconstruction of face and scalp after dog bites in children. Revista do Colegio Brasileiro de Cirurgioes, 43(6), 452–457.

Morais, D. C. M., Barros, P. O., Tamos, E. F., & Zuim, N. R. B. (2013). Ação cicatrizante de substâncias ativas: d-pantenol, óleo de girassol, papaína, própolis e fator de crescimento de fibroblastos. FOCO: caderno de estudos e pesquisas, (4), 83-97.

Piccart, F., Dormaar, J. T., Coropciuc, R., Schoenaers, J., Bila, M., & Politis, C. (2019). Dog Bite Injuries in the Head and Neck Region: A 20-Year Review. Craniomaxillofacial trauma & reconstruction, 12(3), 199–204.

Saadi, R., Oberman, B. S., & Lighthall, J. G. (2018). Dog-Bite-Related Craniofacial Fractures among Pediatric Patients: A Case Series and Review of Literature. Craniomaxillofacial trauma & reconstruction, 11(4), 249–255

Senturk, E., Dagistanli, N., Calim, O. F., & Ozturan, O. (2019). Nasal Reconstruction Following a Dog Bite. The Journal of craniofacial surgery, 30(7), 2233–2235.

Touré, G., Angoulangouli, G., & Méningaud, J. P. (2015). Epidemiology and classification of dog bite injuries to the face: A prospective study of 108 patients. Journal of plastic, reconstructive & aesthetic surgery: JPRAS, 68(5), 654–658.

Vieira, C. L., Araújo, D. C. D. C., Ribeiro, M. L. S., & Laureano Filho, J. R. (2013). Lesão de tecido mole em pacientes vítimas de trauma buco-maxilo-facial. Revista de Cirurgia e Traumatologia Buco-maxilo-facial, 13(1), 97-104.

Zhu, N., Cruz Walma, A., Troulis, M. J., & August, M. (2020). Facial dog bites treated at the Massachusetts General Hospital over a 20-year period. Oral surgery, oral medicine, oral pathology and oral radiology, 130(2), 136–143.



How to Cite

DIÓGENES, C. C.; BEZERRA, F. H. V. .; SILVA, M. B. da .; ALMEIDA, I. T. de .; NEVES, L. E. de M. .; SILVA, F. G. T. e .; SOUZA, A. G. .; ANDRADE, A. B. L. de .; MACIEL, F. A. C. . Management of extensive facial injury resulting from canine bite in a pediatric patient: A clinical case report. Research, Society and Development, [S. l.], v. 10, n. 9, p. e546101918374, 2021. DOI: 10.33448/rsd-v10i9.18374. Disponível em: Acesso em: 20 sep. 2021.



Health Sciences