{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:31:54Z","timestamp":1787761914897,"version":"build-2784847793"},"reference-count":50,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Analyze demographic and clinical factors for patients presenting with dog bites to the face, head, or neck.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Single tertiary care, level 1 trauma center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review identified patients presenting for facial dog bite injuries from 2012 to 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 906 patients with facial dog bites and 2061 injuries. Patients ranged from 0 to 91 years old with a median of 7 years, and 50.6% were female. The 2 most common causes for injury were playing with the dog (32.0%) or an unprovoked attack (17.3%). Family dogs were responsible for 61.3% of injuries. Pitbulls (22.4%), Labradors (10.5%), and German Shepherds (7.0%) were the most identified breeds. The cheeks (25.9%), lips (20.8%), and nose (9.0%) were most injured. Hospital admission was required in 17.0% of patients. Regarding management, 16.9% required operative repair, 65.9% were repaired at bedside, and 17.9% were managed conservatively. There were 878 patients prescribed intravenous or oral antibiotics (96.9%) with amoxicillin\u2010clavulanate most frequently prescribed (62.7%). Of the 138 patients bit by dogs with outdated or unknown rabies vaccination status, 35.5% (n\u2009=\u200949) received a rabies vaccination, and 34.8% (n\u2009=\u200948) received rabies immunoglobulins. Of the 254 patients not current on tetanus vaccination, 78.7% (n\u2009=\u2009200) received a booster.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dog bites to the head and neck are common injuries, with many patients requiring hospital admission and\/or repair. Understanding the demographics of these injuries is important to identify physical and socioeconomic burdens of disease, gaps in adherence to protocols\/guidelines, and areas of targeted education\/preventative interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oto2.70233","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T16:51:09Z","timestamp":1776703869000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating Dog Bite\u2010Induced Facial Trauma: A Study From a Single Tertiary Care Center"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5616-7260","authenticated-orcid":false,"given":"Andrew J.","family":"Rothka","sequence":"first","affiliation":[{"name":"Department of Surgery University of North Carolina Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marly","family":"Aziz","sequence":"additional","affiliation":[{"name":"College of Medicine The Pennsylvania State University Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katelyn P. K.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"College of Medicine The Pennsylvania State University Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5902-7054","authenticated-orcid":false,"given":"F. 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