A month ago, a 72-year-old man (from Thanh Hoa) was bitten by a dog on the face, his lower lip was severed. The patient received prompt first aid, wound sutures, and tetanus and rabies vaccinations.
The wound is stable, but the sequelae of a lower lip defect cause many obstacles in the patient's daily life. Secretions and saliva often flow out when eating or talking, so the sequelae of a lower lip defect need to be treated.
At the Department of Plastic and Microsurgery, 108 Military Central Hospital, the old man had his missing lip reconstructed using a skin flap from the surrounding area. The successful surgery helped the patient regain a continuous lip line, improving his quality of life, both in terms of function and aesthetics.
Surgeons perform lip reconstruction surgery on a patient bitten by a dog. (Photo: BVCC)
According to MSc. Dr. Le Kim Nha, Department of Plastic Surgery and Microsurgery, 108 Central Military Hospital, in first aid for dog bites, it is necessary to separate the patient from the danger zone. If the wound is bleeding profusely, quickly use a clean towel or clean gauze to press on the injured area to stop the bleeding. If the wound stops bleeding, wash it with soap and clean water, then bandage it with clean gauze and transfer the patient to the nearest medical facility.
At a medical facility, patients should be examined and advised by a specialist to get vaccinated against rabies and tetanus as soon as possible. Dog bite wounds are at high risk of infection, so they should be bandaged and cleaned daily, combined with antibiotics and painkillers.
For infected and oozing wounds, we should leave them open and take care of them by changing the bandages daily until they are clean before closing them. When the overall and local conditions are stable, plastic surgery will be used to reconstruct the missing organ and structure, improving the patient's quality of life.
On average, each year in Vietnam there are more than 500,000 domestic accidents caused by dog bites. In recent years, the frequency of dog bites on the elderly or children has increased, with injuries often occurring in the head, face, and neck, leaving extremely serious consequences.
Source: https://vtcnews.vn/cu-ong-bi-cho-can-dut-roi-moi-ar914348.html
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