摘要

Objectives: To resent effective protocols for the treatment of bite wounds of the face, formed on the basis of own experience Introduction: A dog is a friend of a man, but a man is not always a friend to a dog, which bites are a serious medical and social problem, since they require a multi-complex emergency approach in the treatment of a patient, which is not always possible. A bite wound inflicted by a dog is itself a risk factor for rabies, tetanus, and purulent fusion of tissues; the scars that form after the completion of treatment often become a pronounced psycho-traumatic factor for the victim. But here is still no single integrated approach to the treatment of these specific wounds. Materials / method: Patients with different bitten wounds on the face area was admitted to the clinic, where everyone of them underwented combined wound treatment in order to minimize the formation of cicatricial deformities of the face. Based on the literature reviews on the current studies of wound healing using various hardware techniques, we chose a neodymium laser for wound healing in our patients as a main method in treatment protocol for 100% of patients because of its photobiomodulation effect. Other methods included injections of collagen, BTA, bleomicin, GCS, lipofilling - depending from type of damage Results: the results are presented in 5 clinical cases with a full analysis of every case treatment from the moment of the dog bite. All of patients received complex treatment, as a result of which they achieved good aesthetic parameters. In process of treatment of one patient with full-thikness wound of upper lip bad and slow regeneration was observed because of damage of microvascular system and unsufficient blood supplying, bud finally all of patients were received good or excellent results. Conclusion: Animal bites, in particular dog bites, are widespread among unreported recipients of patients in health facilities for the delivery of immigration medical assistance; The magnitude and importance of treatment varies widely and matters; In the absence of widespread professional management of the postoperative period, wounds in the facial area follow the formation of rough scars; Thanks to the development of regenerative medicine, including LLLT, in clinical practice, there are available tools for the qualitative examination of wounds and the prevention of serious scarring.