Pediatric Facial Wolf Bite Involving Stenson’s Duct: Consequences and Management

Abstract

Facial animal bites pose a significant challenge due to the risk of infection, functional impairment, and aesthetic concerns. Injuries can range from superficial wounds to life-threatening head and neck injuries, and fatalities have been reported. Although the incidence of animal facial bites is commoner among children than adults, yet the incidence of wolf facial bites in children is rare incomparison to dog bites. The danger of stray animal bites lies in the infection they may transmit, as without rapid and accurate medical intervention, they may lead to the death of the patient or permanent deformities. The psychological insult can result in fear and nightmares and can have an adverse effect on quality of life for both the victim and their family. This article describes the surgical management of a patient with a lacerated wound involving both superficial and deep parts of the anterior and lateral regions in the face; the upper lip and the right cheek. Furthermore, the right Stenson’s duct was disrupted because of a wolf bite. Before reconstructing the lacerated wounds, stenting and repair of the Stenson’s duct was achieved restoring the cosmetic, anatomical and functional aspects of the patient, in addition to prevention of the salivary complications.