title: Management of bite wounds in the head and neck.
abstract: An estimated 50% of people in the United States will incur an animal or human bite wound at least once in their lifetimes. Although the majority of these individuals do not seek medical attention, bite wounds to the head and neck are a common reason for emergency department visits. Facial bites are complex injuries due to the functional and cosmetic nature of the area, as well as the unique polymicrobial infection potential that exists. We present a review of the epidemiology and microbiology of bite injuries to the head and neck and provide evidence-based recommendations regarding surgical wound closure and antibiotic therapy.
authors.affiliation: Department of Otorhinolaryngology, University of Maryland Medical Center, Baltimore, MD, USA. bryanambro@yahoo.com
authors.forename: Bryan T
authors.initials: BT
authors.lastname: Ambro
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Wright
authors.forename: Ryan N
authors.initials: RN
authors.lastname: Heffelfinger
mesh_terms: D001733:Bites and Stings / Q000150:complications / Q000382:microbiology / Q000628:therapy*; D001734:Bites, Human / Q000150:complications / Q000382:microbiology / Q000628:therapy; D006259:Craniocerebral Trauma / Q000209:etiology / Q000382:microbiology / Q000628:therapy*; D006801:Humans; D019838:Neck Injuries / Q000209:etiology / Q000382:microbiology / Q000628:therapy*; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000209:etiology / Q000382:microbiology / Q000628:therapy*; D013518:Surgery, Plastic / Q000379:methods*; D014946:Wound Infection / Q000382:microbiology / Q000628:therapy