Two cases of multiple facial lacerations caused by a black bear
Injury by a bear attack mostly occurs in the head and neck region and can be fatal, requiring immediate treatment. In addition to first-aid treatment, preventive measures against infectious and parasitic diseases are also necessary. We report two cases of multiple facial lacerations caused by the sa...
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| Published in | Japanese Journal of Oral and Maxillofacial Surgery Vol. 53; no. 12; pp. 732 - 735 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japanese Society of Oral and Maxillofacial Surgeons
2007
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.53.732 |
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| Abstract | Injury by a bear attack mostly occurs in the head and neck region and can be fatal, requiring immediate treatment. In addition to first-aid treatment, preventive measures against infectious and parasitic diseases are also necessary. We report two cases of multiple facial lacerations caused by the same black bear. Patient 1: A 51-yearold woman was attacked by a black bear while trekking and sustained multiple facial lacerations. She was successfully treated under general anesthesia 3 hours after the injury. Patient 2: A 65-year-old man was attacked by the same black bear when he tried to rescue the woman and sustained multiple facial lacerations as well. He was also successfully treated under general anesthesia 5 hours after injury. The clinical course of both patients was uneventful with no infection or sensory or motor nerve dysfunction. |
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| AbstractList | Injury by a bear attack mostly occurs in the head and neck region and can be fatal, requiring immediate treatment. In addition to first-aid treatment, preventive measures against infectious and parasitic diseases are also necessary. We report two cases of multiple facial lacerations caused by the same black bear. Patient 1: A 51-yearold woman was attacked by a black bear while trekking and sustained multiple facial lacerations. She was successfully treated under general anesthesia 3 hours after the injury. Patient 2: A 65-year-old man was attacked by the same black bear when he tried to rescue the woman and sustained multiple facial lacerations as well. He was also successfully treated under general anesthesia 5 hours after injury. The clinical course of both patients was uneventful with no infection or sensory or motor nerve dysfunction. |
| Author | YAMAMOTO, Kazuhiko SHIMOMURA, Tadahiro TAMAKI, Shigehiro YAMANAKA, Yasutsugu SHIMOMURA, Hiroyuki KIRITA, Tadaaki |
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| References | 8) 田熊清継, 相川直樹, 他: 感染対策. 救急医学 14: 1473-1479 1990. 1) 松川聡, 山田容三, 他: 顔面骨折の臨床統計学的観察. 東医大誌 53: 115-118 1998. 7) 大儀和彦, 桐田忠昭, 他: 開口障害および片側顔面痙縮を伴った破傷風の1例. 日口外誌 48: 370-373 2002. 10) Kumimoto, D., Rennie, R., et al.: Bacteriology of a bear bite wound to a human: case report. J Clin Microbiol 42: 3374-3376 2004. 2) 福田政幸, 高橋哲, 他: ツキノワグマに襲撃され広範囲な顔面裂創と顔面多発骨折を来した1例. 東北大歯誌 17: 52-55 1998. 4) 篠山美香, 末延耕作: 熊による顔面外傷の1例. 川崎医会誌 30: 183-188 2004. 11) Klein, M.: Nondomestic mammalian bites. Am Fam Physician 132: 137-141 1985. 3) 山田祐彦, 真壁秀幸, 他: 熊による外傷医事新報 4207: 12-15 2004. 5) 陳貴史, 大木更一郎, 他: 広頚筋皮弁により再建した顔面熊咬傷の1例. 形成外科 46: 1203-1208 2003. 12) 吉田幸雄: 図説人体寄生虫学. 第4版, 南山堂, 東京, 1991, 130-131頁. 6) 上田晃一: 創傷形態からみた処置法. 咬傷, 刺創, 異物埋入創. 形成外科 49: 67-72 2006. 9) 小内信也, 池田典昭, 他: ツキノワグマに襲われ死亡した3症例. 法医学の実際と研究 32: 277-281 1989. |
| References_xml | – reference: 3) 山田祐彦, 真壁秀幸, 他: 熊による外傷医事新報 4207: 12-15 2004. – reference: 2) 福田政幸, 高橋哲, 他: ツキノワグマに襲撃され広範囲な顔面裂創と顔面多発骨折を来した1例. 東北大歯誌 17: 52-55 1998. – reference: 1) 松川聡, 山田容三, 他: 顔面骨折の臨床統計学的観察. 東医大誌 53: 115-118 1998. – reference: 5) 陳貴史, 大木更一郎, 他: 広頚筋皮弁により再建した顔面熊咬傷の1例. 形成外科 46: 1203-1208 2003. – reference: 11) Klein, M.: Nondomestic mammalian bites. Am Fam Physician 132: 137-141 1985. – reference: 12) 吉田幸雄: 図説人体寄生虫学. 第4版, 南山堂, 東京, 1991, 130-131頁. – reference: 7) 大儀和彦, 桐田忠昭, 他: 開口障害および片側顔面痙縮を伴った破傷風の1例. 日口外誌 48: 370-373 2002. – reference: 9) 小内信也, 池田典昭, 他: ツキノワグマに襲われ死亡した3症例. 法医学の実際と研究 32: 277-281 1989. – reference: 10) Kumimoto, D., Rennie, R., et al.: Bacteriology of a bear bite wound to a human: case report. J Clin Microbiol 42: 3374-3376 2004. – reference: 4) 篠山美香, 末延耕作: 熊による顔面外傷の1例. 川崎医会誌 30: 183-188 2004. – reference: 6) 上田晃一: 創傷形態からみた処置法. 咬傷, 刺創, 異物埋入創. 形成外科 49: 67-72 2006. – reference: 8) 田熊清継, 相川直樹, 他: 感染対策. 救急医学 14: 1473-1479 1990. |
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| Title | Two cases of multiple facial lacerations caused by a black bear |
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