Manejo maxillofacial por mordeduras de perro en un infante: reporte de un caso

Autores/as

  • Carlos Martín Ardila Universidad de Antioquia
  • Natalia Contreras Gómez Universidad de Antioquia
  • Natalia Contreras Gómez Universidad de Antioquia
  • Efraín Álvarez Martínez Universidad de Antioquia
  • Efraín Álvarez Martínez Universidad de Antioquia

Resumen

Dog bites cause complex craniomaxillofacial injuries. Considering that the bite injuries are repeatedly situated on the face, dentist requires being well known with the therapy of animal bites. A three-year-old male child was attended as a victim of a Pit Bull terrier biting. The patient had multiple wounds at the level of the upper eyelid of the right eyeball, left hemisphere with the involvement of the auricular pavilion, wounds with multiple detachments on face and scalp, several abrasions and ecchymoses in the bilateral infraorbital and mouth region. The clinical intervention was completed in the first twenty-four hours after injury. The affected zones were cleaned and irrigated with saline solution, and the wounds were sutured in layers. Tetanus and anti-rabies vaccination, and antibiotic and analgesic were administered. On the fifth postoperative day, the stitches were removed, and the patient was discharged from the hospital. One week after the trauma, the child showed adequate wound curing absent of aggravation. Satisfactory aesthetic and functional results were achieved. Besides, in this case, the most relevant aspects of the management of dogs bites are presented.

 

Maxillofacial management of dog bites injuries in an infant: a case report

Las mordeduras de perros causan lesiones craneomaxilofaciales complejas. Teniendo en cuenta que las lesiones por mordedura están situadas repetidamente en la cara, el odontólogo debe conocer la terapia que se debe realizar en el caso de mordeduras de animales. Un niño de tres años fue atendido como víctima de una mordedura de Pit Bull terrier. El paciente tenía múltiples heridas a nivel del párpado superior del globo ocular derecho, hemisferio izquierdo con afectación del pabellón auricular, heridas con múltiples desprendimientos en la cara y el cuero cabelludo, varias abrasiones y equimosis en la región bilateral infraorbitaria y bucal. La intervención clínica se completó en las primeras veinticuatro horas después de la lesión. Las zonas afectadas se limpiaron e irrigaron con solución salina, y las heridas se suturaron en capas. Se administraron vacuna antitetánica y antirrábica, antibióticos y analgésicos. En el quinto día postoperatorio, se retiraron los puntos de sutura y el paciente fue dado de alta del hospital. Una semana después del trauma, el niño mostró curación adecuada de la herida sin agravación. Se lograron resultados estéticos y funcionales satisfactorios. Además, en este caso, se presentan los aspectos más relevantes del manejo de las mordeduras de perros. 

Palabras clave: mordeduras y picaduras; perros; heridas y daños; lesiones maxilofaciales; heridas en la cabeza.

 

Manejo maxilofacial de mordidas de cães em criança: relato de caso

Mordidas de cães causam lesões craniomaxilofaciais complexas. Considerando que as lesões por mordidas são repetidamente situadas na face, um cirurgião oral e maxilofacial exige ser bem conhecido com a terapia de mordidas de animais. Um menino de três anos foi vítima de uma picada de um terrier de Pit Bull. O paciente apresentava múltiplas feridas no nível da pálpebra superior do globo ocular direito, hemisfério esquerdo com envolvimento do pavilhão auricular, feridas com múltiplos descolamentos na face e couro cabeludo, várias abrasões e equimoses na região infraorbital e boca bilateral. A intervenção clínica foi concluída nas primeiras vinte e quatro horas após a lesão. As zonas afetadas foram limpas e irrigadas com solução salina e as feridas foram suturadas em camadas. Vacinação antitetânica e anti-rábica e antibióticos e analgésicos foram administrados. No quinto dia de pós-operatório, os pontos foram retirados e a paciente recebeu alta do hospital. Uma semana após o trauma, a criança apresentou cura adequada da ferida, sem agravamento. Resultados estéticos e funcionais satisfatórios foram alcançados. Além disso, neste caso, são apresentados os aspectos mais relevantes no manejo das mordidas de cães.


Palavras-chave: mordidas e picadas; cães; feridas e lesões; lesões maxilofaciais; ferimentos na cabeça.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Ando S, Aizawa K, Nankashima T, Sanka Y, Shimbo K, Kiyokawa K. Transmigration Process of the Impacted Mandibular Cuspid. J Nihon Univ Sch Dent. 1964;6(2):66–71.

Peck S. On the phenomenon of intraosseous migration of nonerupting teeth. Am J Orthod Dentofac Orthop. 1998;113(5):515–7.

Aras MH, Büyükkurt MC, Yolcu Ü, Ertaş Ü, Dayi E. Transmigrant maxillary canines. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2008;105(3):48–52.

Mazinis E, Zafeiriadis A, Karathanasis A, Lambrianidis T. Transmigration of impacted canines: Prevalence, management and implications on tooth structure and pulp vitality of adjacent teeth. Clin Oral Investig. 2012;16(2):625–32.

Dalessandri D, Parrini S, Rubiano R, Gallone D, Migliorati M. Impacted and transmigrant mandibular canines incidence, aetiology, and treatment: A systematic review. Eur J Orthod. 2017;39(2):161–9.

Kara MI, Ay S, Aktan AM, Şener I, Bereket C, Ezirganli Ş, et al. Analysis of different type of transmigrant mandibular teeth. Med Oral Patol Oral Cir Bucal. 2011;16(3):335–40.

Bhullar MK, Aggarwal I, Verma R, Uppal AS. Mandibular canine transmigration: Report of three cases and literature review. J Int Soc Prev Communit Dent. 2017;7(1):8–14.

Kuftinec MM, Shapira Y, Nahlieli O. A case report. Bilateral transmigration of impacted mandibular canines. J Am Dent Assoc. 1995;126(7):1022–4.

Gupta I, Chaudhry A, Keluskar V, Mathur H. Varied clinico-radiological presentations of transmigrated canines. J Indian Orthod Soc. 2015;49(1):42.

Joshi MR. Transmigrant Mandibular Canines: A Record of 28 Cases and a Retrospective Review of the Literature. Angle Orthod. 2001;71(1):12–22.

Javid B. Transmigration of impacted mandibular cuspids. Int J Oral Surg. 1985;14(6):547–9.

Aydin U, Yilmaz HH, Yildirim D. Incidence of canine impaction and transmigration in a patient population. Dentomaxillofacial Radiol. 2004;33(3):164–9.

Tarsitano JJ, Wooten JW, Burditt JT. Transmigration of nonerupted mandibular canines: report of cases. J Am Dent Assoc. 1971;82(6):1395–7.

Kumar S, Jayaswal P, Pentapati KC, Valiathan A, Kotak N. Investigation of the transmigrated canine in an orthodontic patient population. J Orthod. 2012;39(2):89–94.

Kumar S, Urala AS, Kamath AT, Jayaswal P, Valiathan A. Unusual intraosseous transmigration of impacted tooth. Imaging Sci Dent. 2012;42(1):47–54.

Aktan AM, Kara S, Akgünlü F, Malkoç S. The incidence of canine transmigration and tooth impaction in a Turkish subpopulation. Eur J Orthod. 2010;32(5):575–81.

Thilander B, Jakobsson SO. Local factors in impaction of maxillary canines. Acta Odontol Scand. 1968;26(1–2):145–68.

Preda L, La Fianza A, Di Maggio EM, Dore R, Schifino MR, Campani R, et al. The use of spiral computed tomography in the localization of impacted maxillary canines. Dentomaxillofac Radiol. 1997;26(4):236–41.

Almuhtaseb E, Mao J, Mahony D, Bader R, Zhang Z. Three-dimensional localization of impacted canines and root resorption assessment using cone beam computed tomography. J Huazhong Univ Sci Technol [Medical Sci. 2014;34(3):425–30.

Kamiloglu B, Kelahmet U. Prevalence of impacted and transmigrated canine teeth in a Cypriote orthodontic population in the Northern Cyprus area. BMC Res Notes. 2014;7(1):1–6.

Pérez Flores MA, Pérez Flores P, Fierro Monti C. Alteraciones en la Erupción de Caninos Permanentes. Int J Motphol. 2009;27(1):139–43.

Iglesias León D, San Román Santana D, Delis Fernández R. Tratamiento multidisciplinario en paciente con transposición dentaria. Presentación de una paciente. Acta Médica del Cent. 2014;8(3):108–12.

Selim Yavuz M, Hamdi Aras M, Cemil Büyükkurt M, Tozoglu S. Impacted mandibular canines. J Contemp Dent Pract. 2007;8(7):078–85.

Camilleri S, Scerri E. Transmigration of mandibular canines-a review of the literature and a report of five cases. Angle Orthod. 2003;73(6):753–62.

Taguchi Y, Hayashi-Sakai S, Iizawa F, Numa-Kinjoh N. Classification of maxillary canine transpositions in Japanese children: A report of 10 cases. Pediatr Dent J. 2009;19(1):136–44.

Alqerban A, Jacobs R, Fieuws S, Willems G. Radiographic predictors for maxillary canine impaction. Am J Orthod Dentofac Orthop. 2015;147(3):345–54.

Mittal TK, Atack NE, Naish HJ, Williams JC, Puryer JS, Sandy JR, et al. The Aberrant Canine Part 1 : Aetiology and Diagnosis. Ortho Updat. 2017;(10):126–30.

Maia FA, Maia NG. Unusual orthodontic correction of bilateral maxillary canine-first premolar transposition. Angle Orthod. 2005;75(2):266–76.

Becker A, Chaushu S. Etiology of maxillary canine impaction: A review. Am J Orthod Dentofac Orthop. 2015;148(4):557–67.

Aydin U, Yilmaz HH. Transmigration of impacted canines. Dentomaxillofacial Radiol. 2003;32(3):198–200.

Shapira Y, Kuftinec MM. Unusual intraosseous transmigration of a palatally impacted canine. Am J Orthod Dentofac Orthop. 2005;127(3):360–3.

Ryan FS, Batra P, Witherow H, Calvert M. Transmigration of a Maxillary Canine . A Case Report. Prim Dent Care. 2005;12(April):70–2.

Halıcıoğlu K, Çörekçi B, Irgın C. Incidence Of Impacted Teeth and Transmigrated Canines - A Radiographic Study In Turkish Dental Patients. Clin Dentsitry Res. 2012;36(3):42–50.

Celikoglu M, Kamak H, Oktay H. Investigation of Transmigrated and Impacted Maxillary and Mandibular Canine Teeth in an Orthodontic Patient Population. J Oral Maxillofac Surg. 2010;68(5):1001–6.

Gündüz K, Çelenk P. The incidence of impacted transmigrant canines: A retrospective study. Oral Radiol. 2010;26(2):77–81.

Torres Lagares D, Flores Ruiz R, Infante Cossio P, Garcia Calderon M, Gutierrez Perez JL. Transmigration of impacted lower canine. Case report and review of literature. Med Oral Patol Oral Cir Bucal. 2006;11(2):171–4.

Röhrer A. Displaced and impacted canines A radiographic research. Int J Orthod Oral Surg Radiogr. 1929;15(10):1003–20.

Chu FCS, Li TKL, Lui VKB, Newsome PRH, Chow RLK, Cheung LK. Prevalence of impacted teeth and associated pathologies - a radiographic study of the Hong Kong Chinese population. Hong Kong Med J. 2003;9(3):158–63.

Shapira Y, Kuftinec MM. Intrabony migration of impacted teeth. Angle Orthod. 2003;73(6):738–43.

Mupparapu M. Patterns of intra-osseous transmigration and ectopic eruption of mandibular canines: Review of literature and report of nine additional cases. Dentomaxillofacial Radiol. 2002;31(6):355–60.

Peck S, Peck L. Classification of maxillary tooth transpositions. Am J Orthod Dentofac Orthop. 1995;107(5):505–17.

Becker A, Zilberman Y, Tsur B. Root length of lateral incisors adjacent to palatally displaced maxillary canines. Angle Orthod. 1984;54(3):218–25.

Batra P, Leyland L. Unusual transmigration of an impacted canine. Am J Orthod Dentofac Orthop. 2005;128(2):146–7.

Auluck A, Mupparapu M. Transmigration of impacted and displaced maxillary canines: Orientation of canine to the midpalatine suture. Am J Orthod Dentofac Orthop. 2006;129(1):6–7.

Vuchkova J, Farah CS. Canine transmigration : comprehensive literature review and report of 4 new Australian cases. Oral Surgery, oral Med oral. 2010;109(4):e46–53.

Rebellato J, Schabel B. Treatment of a patient with an impacted transmigrant mandibular canine and a palatally impacted maxillary canine. Angle Orthod. 2003;73(3):328–36.

Schmuth GP, Freisfeld M, Köster O, Schüller H. The application of computerized tomography (CT) in cases of impacted maxillary canines. Eur J Orthod. 1992;14(4):296–301.

Armstrong C, Johnston C, Burden D, Stevenson M. Localizing ectopic maxillary canines - Horizontal or vertical parallax? Eur J Orthod. 2003;25(6):585–9.

Ericson S, Kurol J. CT diagnosis of ectopically erupting maxillary canines- A case report. Eur J Orthod. 1988;10:115–20.

Peene P, Lamoral Y, Plas H, Wilms G, De Bethune V, Opdebeeck H, et al. Resorption of the lateral maxilarry incisor: assessment by CT. J Comput Assist Tomogr. 1990;14(3):427–9.

Naoumova J, Kjellberg H, Palm R. Cone-beam computed tomography for assessment of palatal displaced canine position a methodological study. Angle Orthod. 2014;84(3):459–66.

Chang NY, Park JH, Kim SC, Kang KH, Cho JH, Cho JW, et al. Forced eruption of impacted maxillary central incisors with severely dilacerated roots. Am J Orthod Dentofac Orthop. 2016;150(4):692–702.

Publicado

2020-04-27

Número

Sección

Reporte de casos