@article{ref1,
title="A rare presentation of donkey bites involving the cheek and ear: a case report and literature review",
journal="Curēus",
year="2023",
author="Zeaiter, Nancy and Maassarani, Deoda and Aoun, Charbel B. and Ghanime, George and Sleiman, Ziad",
volume="15",
number="4",
pages="e37446-e37446",
abstract="Although animal bites account for a fair number of emergency department visits, donkey bites account for a very limited proportion. A 12-year-old boy presented to our department with a severe donkey bite involving his face. The injury included his left cheek with a laceration of the left ear cartilage. The examination revealed no serious morbidity (no vascular or nerve involvement). The patient received prophylactic antibiotics and anti-rabies/anti-tetanus vaccination. The wound was cleaned thoroughly with copious irrigation. Afterward, the patient underwent surgery to correct the defect in the cheek using a rotational advancement cervicofacial flap, while the penetrated ear cartilage was repaired and the skin margins were approximated and sutured. During the follow-up period, no complications were observed and the functional and cosmetic outcomes were satisfactory. Donkey bites are rarely encountered and they can result in different presentations and morbidities/outcomes. It is suggested that the timing from the bite injury to presentation, the stage/extent of the bite, the use of anti-tetanus and anti-rabies vaccines, and the prophylactic use of antibiotics may play a role in determining the outcomes and/or complications of donkey bites.<p /> <p>Language: en</p>",
language="en",
issn="2168-8184",
doi="10.7759/cureus.37446",
url="http://dx.doi.org/10.7759/cureus.37446"
}