• Dent. Clin. North Am. · Oct 2009

    Review

    Management of facial bite wounds.

    • Panagiotis K Stefanopoulos and Andromache D Tarantzopoulou.
    • Hellenic Army, Department of Oral and Maxillofacial Surgery, 401 Army Hospital, Athens, Greece. pstefanopoulos@yahoo.com
    • Dent. Clin. North Am. 2009 Oct 1; 53 (4): 691-705, vi.

    AbstractBite wounds are especially prone to infectious complications, both local and systemic. In bite wounds to the face, such complications can create more difficulties than the initial tissue damage itself for the task of restoring an esthetic appearance. Management should aim to neutralize this potential for infection and provide an infection-free environment for wound healing. Wound cleansing followed by primary closure is the treatment of choice, and the use of prophylactic antibiotics may further decrease the risk of infection. Delay in presentation beyond 24 hours is not necessarily a contraindication to immediate repair, but excessive crushing of the tissues or extensive edema usually dictates a more conservative approach, such as delayed closure.

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