Visit us in Chevy Chase, Tyson's Area/McLean or Gainesville:
5454 Wisconsin Ave, #1710 Chevy Chase, MD 20815

7601 Lewinsville Rd, #300 McLean, VA 22102

7500 Iron Bar Lane, #100, Gainesville, VA 20155
(With Katie Williar, P.A)

(703) 543-9252 | (301) 244-0148

Closure of dog bite to face

In my reconstructive plastic surgery practice, I favor the immediate closure of dog bites to the face.

This requires extensive cleaning of the wounds but with good numbing in the emergency room I find it this is a step that can be undertaken to decontaminate the wound enough for immediate closure.

The key first step is to numb up the wound completely. I favor a nerve blocks when appropriate. I also favor diffuse local infiltration of the wound, including the Deep surfaces of the wound.

After that probing while irrigating if the wound is big enough I probe with my finger. If it is a small wound I probe with hemostats I spread the skin open I gently scrape the wound all while diffusing copious amounts of normal saline.

Adequate debridement of devitalized tissue is also important.

this results in a clean wound that can be closed with close follow-up. I also favor post-operative antibiotics for dog bites Augmentin being the medication of choice in non pcn allergic people.

Example below is a patient who lost soft tissue due to dog bite. She was the reconstructed with a local tissue flap immediately on presentation to the emergency room.

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Office location:

Chevy Chase
5454 Wisconsin Avenue
suite 1710
Chevy Chase, Maryland
20815
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Tyson's Corner (McLean, VA)
7601 Lewinsville Rd, #300
McLean, VA 22102
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Gainesville (With Katie Williar, P.A)
7500 Iron Bar Lane, #100,
Gainesville, VA 20155
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Phone: (703) 543-9252
(301) 244-0148

Fax: (866) 206-6747

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