Lesiones en cara por mordedura de perro, reconstrucción, secuelas estética y psicológicas. Hospital Francisco de Ycaza Bustamante. Enero 2014- diciembre 2015
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El problema de las heridas faciales por mordida de animales son complejas,
ocurren con frecuencia en región maxilofacial. La morbilidad por estas heridas, y las
implicaciones estéticas, demandan un tratamiento cuidadoso y de estrategias bien
documentadas para su manejo. Se desconoce el comportamiento de las lesiones por
mordeduras de perro en cara de los niños que acuden al Hospital Francisco Icaza
Bustamante , posterior a la reconstrucción con la finalidad de disminuir sus respectivas
secuelas. El objetivo es determinar el tipo de tratamiento de emergencia en cara de niños
atendidos en el Hospital, la reconstrucción y sus secuelas estéticas y psicológicas. El
siguiente estudio descriptivo de corte transversal retrospectivo observacional se
desarrolló en Guayaquil, en hospital Francisco de Icaza Bustamante, el universo estuvo
determinado por los pacientes atendidos por mordedura de perros en la región facial. La
recolección de la información se recabo a partir de las historias clínicas únicas en el
servicio de emergencia. El resultado de la serie de estudio estuvo representada por la
muestra de 175 pacientes con historia clínica completa , entre 10 a 14 años, con las
lesiones en cara. El mayor numero de casos recibio atención una vez superado los 50
minutos del ataque. El lavado de la herida ocurrio entre los 45 y 60 minutos de la
agresión lo que predispone la infección. Como conclusión demostramos que las acciones
médicas estuvieron determinadas por lavado con solución salina, cierre primario,
debridación de tejido necróticos, y uso de antibiótico profiláctico.
Facial animal bite wounds are complex injuries that occur relatively frequently in the maxillofacial region. The morbidity associated with this type of injury, as well as the aesthetic implications, require careful handling and application of well documented management strategies. The behavior of dog bite injuries in face of the children who come to the "Francisco de Icaza Bustamante" Hospital is unknow, their reconstruction and their respective sequels in the period January 2014 to December 2015. To determine the type most common injuries in craniofacial region in children treated at the Hospital, their reconstruction, their aesthetic and psychological consequences. The following descriptive cross-sectional, retrospective observational study was developed in the city of Guayaquil. The investigation determined for the period was 1 January 2014 to 30 December 2015; the universe was determined by patients treated dog bite in the facial region. The data collection was conducted from the only medical records of care at the emergency service. The result oh the study series will be represented by the sample of 175 patients with complete medical history, aged 10 to years, with face injuries. The highest number of cases receive attention once exceeded the 50 minutes after the attack. Washing the wound occurs between 45 and 60 minutes after the aggression which predisposes infection. Conclusion hope to demonstrate that medical actions are determined by washing with physiological saline, primary closure, debridement of necrotic tissue, and use of prophylactic antibiotic.
Facial animal bite wounds are complex injuries that occur relatively frequently in the maxillofacial region. The morbidity associated with this type of injury, as well as the aesthetic implications, require careful handling and application of well documented management strategies. The behavior of dog bite injuries in face of the children who come to the "Francisco de Icaza Bustamante" Hospital is unknow, their reconstruction and their respective sequels in the period January 2014 to December 2015. To determine the type most common injuries in craniofacial region in children treated at the Hospital, their reconstruction, their aesthetic and psychological consequences. The following descriptive cross-sectional, retrospective observational study was developed in the city of Guayaquil. The investigation determined for the period was 1 January 2014 to 30 December 2015; the universe was determined by patients treated dog bite in the facial region. The data collection was conducted from the only medical records of care at the emergency service. The result oh the study series will be represented by the sample of 175 patients with complete medical history, aged 10 to years, with face injuries. The highest number of cases receive attention once exceeded the 50 minutes after the attack. Washing the wound occurs between 45 and 60 minutes after the aggression which predisposes infection. Conclusion hope to demonstrate that medical actions are determined by washing with physiological saline, primary closure, debridement of necrotic tissue, and use of prophylactic antibiotic.
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Mordedura de perro, Secuelas, Estética, Trauma psicológico, Hospital del Niño Francisco de Icaza Bustamante, Cantón Guayaquil, Ecuador, Procedimientos quirúrgicos reconstructivos