Background:Nasal defects due to rat bites are frequently encountered in rural regions of China.In addition to serving as disease vectors,rats can also inflict bite injuries.In this study,we delineated the characterist...Background:Nasal defects due to rat bites are frequently encountered in rural regions of China.In addition to serving as disease vectors,rats can also inflict bite injuries.In this study,we delineated the characteristics of rat bite injuries in the nasal region and discussed the clinical features observed during a 10-year follow-up period.Methods:We retrospectively reviewed hospital records for patients admitted due to rat bites.This study outlines the demographics,clinical features,and follow-up outcomes supported by comprehensive photo documentation of the patients’progress.Results:Twenty-five patients,with a mean age of 29 years,were admitted due to rat bites.Treatment was provided for three distinct types of injuries:nasal tip defect(type Ⅰ),nasal defect(type Ⅱ),and full-thickness nasal defect with loss of surrounding tissues(type Ⅲ).All patients recovered fully.Conclusions:The treatment for rat bites should be based on the wound type.The long-term follow-up outcomes are more favorable when fewer subunits of the nose affected.We recommend early surgical intervention,along with psychological therapy,to prevent interference with growth and development.展开更多
Objective:To describe the issues related to the assignment of surgical wound classification as it pertains to Otolaryngology—Head&Neck surgery,and to present a simple framework by which providers can assign wound...Objective:To describe the issues related to the assignment of surgical wound classification as it pertains to Otolaryngology—Head&Neck surgery,and to present a simple framework by which providers can assign wound classification.Data Sources:Literature review.Conclusion:Surgical wound classification in its current state is limited in its utility.It has recently been disregarded by major risk assessment models,likely due to inaccurate and inconsistent reporting by providers and operative staff.However,if data accuracy is improved,this metric may be useful to inform the risk of surgical site infection.In an era of quality-driven care and reimbursement,surgical wound classification may become an equally important indicator of quality.展开更多
基金supported by the National Natural Science Foundation of China(grant no.82272289).
文摘Background:Nasal defects due to rat bites are frequently encountered in rural regions of China.In addition to serving as disease vectors,rats can also inflict bite injuries.In this study,we delineated the characteristics of rat bite injuries in the nasal region and discussed the clinical features observed during a 10-year follow-up period.Methods:We retrospectively reviewed hospital records for patients admitted due to rat bites.This study outlines the demographics,clinical features,and follow-up outcomes supported by comprehensive photo documentation of the patients’progress.Results:Twenty-five patients,with a mean age of 29 years,were admitted due to rat bites.Treatment was provided for three distinct types of injuries:nasal tip defect(type Ⅰ),nasal defect(type Ⅱ),and full-thickness nasal defect with loss of surrounding tissues(type Ⅲ).All patients recovered fully.Conclusions:The treatment for rat bites should be based on the wound type.The long-term follow-up outcomes are more favorable when fewer subunits of the nose affected.We recommend early surgical intervention,along with psychological therapy,to prevent interference with growth and development.
文摘Objective:To describe the issues related to the assignment of surgical wound classification as it pertains to Otolaryngology—Head&Neck surgery,and to present a simple framework by which providers can assign wound classification.Data Sources:Literature review.Conclusion:Surgical wound classification in its current state is limited in its utility.It has recently been disregarded by major risk assessment models,likely due to inaccurate and inconsistent reporting by providers and operative staff.However,if data accuracy is improved,this metric may be useful to inform the risk of surgical site infection.In an era of quality-driven care and reimbursement,surgical wound classification may become an equally important indicator of quality.
