Upper face and orbit "degloving" dog bite injury.
A 70-year-old woman who attempted suicide lay unconscious on her floor for an unknown time period while her 2 pet dachshunds chewed her upper face and bilateral periorbital areas including all 4 eyelids, both lacrimal glands, all of the conjunctiva from both eyes, the extraocular muscles on the left side only, and anterior orbital fat from both sides. A subtotal exenteration was performed on her left orbit and a temporoparietal fasciocutaneous flap was used to reconstruct her right orbit with buccal mucosa replacing both the bulbar and palpebral conjunctiva. To the authors' knowledge, this is the first report of such extensive orbital injuries from dog bites.
Bergmann
Joseph
J
Department of Ophthalmology, University of South Florida College of Medicine, Tampa, Florida 33613, USA.
Lee
Ken
K
Klein
Richard
R
Slonim
Charles B
CB
D000368:Aged; D000818:Animals; D001733:Bites and Stings / Q000150:complications* / Q000473:pathology; D004285:Dogs; D015353:Eye Enucleation; D005131:Eye Injuries / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005151:Facial Injuries / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D009915:Orbit / Q000293:injuries* / Q000473:pathology; D019651:Plastic Surgery Procedures; D013406:Suicide, Attempted; D013524:Surgical Flaps