Microvascular Replantation Following Facial Dog Bites in Children: Systematic Review and Management Algorithm

Annals of Plastic Surgery
Amanda J WilliamsAndrea L Pozez

Abstract

Pediatric dog bite injuries account for 1% of emergency department visits per year and represent an underrecognized and underreported public health problem. Reconstructive surgery is frequently utilized, and in the most extreme injuries, microvascular replantation may be considered. We sought to systematically review the available literature on microvascular replantation after facial dog bite injuries in children, with particular attention to perioperative morbidity and long-term follow-up. We reviewed a case of microvascular replantation after a facial dog bite injury in a child from our own institution and conducted a systematic literature search to identify other similar reports. Clinical variables were collected from the reported cases, and descriptive statistics were calculated. A management algorithm was developed from the reviewed published experience. We report the youngest child to date in the literature to undergo replantation after a facial dog bite injury. Nineteen other cases were found involving children aged 18 months to 17 years, with follow-up ranging from 2 weeks to 28 years. Anastomosis techniques varied considerably and included both an artery and vein in only 9 (47%) of 19 cases. Venous congestion was nearl...Continue Reading

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Citations

Jan 12, 2021·Journal of Stomatology, Oral and Maxillofacial Surgery·L GalmardR Lartizien
Aug 10, 2019·Current Opinion in Otolaryngology & Head and Neck Surgery·Joshua M Mendoza, John J Chi
Sep 7, 2019·The Journal of Craniofacial Surgery·Erol SenturkOrhan Ozturan

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