IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-2-18015 Original Research Paper DOG BITES- A RISING PROBLEM IN INDIA AMONGST CHILDREN;A CASE REPORT SEQUEIRA Dr. February 2019 8 2 01 02 ABSTRACT

 

Bites by animals are worldwide problems which are at a rise in India. Sometimes fatal, these bite injuries in the oro–facial region can result in severe aesthetic and functional deformity. We report a case of a 2–year old male patient with severe tissue avulsion on the right side of the face involving half of upper lip till the naso–labial fold following a stray dog (rabid?) bite. Patient was started on anti– rabies vaccine. The avulsed tissue was attached to the face with only a sling of mucosal tissue. After examining the vitals and ruling out any other associated injuries, immediate surgical repair was undertaken with antibiotic prophylaxis under general anasthesia. Usually bite lesions are treated with juxtaposition of the torn edges, without suturing, to create natural drainage. We instead applied immediate suturing, after thorough debridement and removal of clearly devitalized parts, hence no infection occurred. The tissues were oriented and approximated followed by 2–layer suturing. The torn edges were infiltrated with anti–rabies immunoglobulin and he was prescribed antibiotics, analgesics and topical application of Fusidic ointment. Patient has been on regular follow–ups and healing has been satisfactory without any adverse effects.