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Others feel antibiotics are not always necessary, but may be prescribed in …
2002
Goldstein EJ. Wounds measuring up to a third of the length of the lip may be closed by using a wedge or chevron excision and approximating the 2 cut edges.Larger defects may require a local flap (eg, Bernard advancement flap, Gillies fan flap, Karapandzic myocutaneous flap) or a Large amputated lip segments have been successfully replanted using microvascular techniques, with the results being unmatched by any other reconstructive technique.Although this approach is reliable, however, it is not universally applicable. This website also contains material copyrighted by 3rd parties.
Ruskin JD, Laney TJ, Wendt SV, Markin RS. <>
Journal Article
Cleansing is best performed with a 10-mL syringe with an 18-gauge angiocatheter attached.
Walton RL, Beahm EK, Brown RE, et al.
These have a significant risk for permanent disability and should be referred to a hand therapist.Refer to a plastic surgeon, otolaryngological (ENT) surgeon, or maxillofacial surgeon any head or neck wound with suspicion of violation of cartilage, retained foreign body, or injury to nerves, vessels, or another complex structure.
This is because of the extensive Complications that can arise from a bite wound infection include:One retrospective study found that bite wounds which were greater than 3 mm or punctured had a threefold increase in infection compared to other wounds.Wounds that have not penetrated the skin are not a cause of concern unless abuse is suspected; the resulting bruising will heal on its own.Patients with infected bite wounds on initial evaluation need to be sent to hospital for assessment and appropriate therapy.If signs of infection are found on follow up, the course of antibiotics can be extended and swabs repeated.Tetanus immune globulin and tetanus toxoid should be offered to patients with less than two Sponsored content: melanomas are notoriously difficult to discover and diagnose.DermNet NZ does not provide an online consultation service. Failure to convert to HIV-positive status at 6 months makes transmission highly unlikely.Surgical intervention is frequently necessary and ranges from simple wound exploration and debridement to repair of complex structures under magnification.Certain patients (eg, children, persons who are emotionally unstable, persons who are mentally handicapped) may require surgical exploration under anesthesia to adequately examine the wound.Indications for surgical intervention include the following:Neurovascular compromise or injury to a complex structure (eg, facial nerve, parotid duct)The goals of treating human bites to the head and neck region are the restoration of the patient's facial appearance and function.Once surgeons became familiar with and accepted this approach because of its good clinical results, aggressive reconstructive techniques evolved in the acute setting.
If a bite is 72 hours old or more and there is no sign of infection, the risk of infection is likely to be low and prophylactic antibiotics
Khajotia RR, Lee E. Transmission of human immunodeficiency virus through saliva after a lip bite.
Welbury RR, Murphy JM.
Harrison M. A 4-year review of human bite injuries presenting to emergency medicine and proposed evidence-based guidelines. Menard P, Bertrand JC, Philippe B.