Pattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome

Introduction: Nepal is a country full of forests and with increase in urbanization there is encroachment into the territories of wild animals. Their encounters have been in the rise and bear maul seem to be one of the leading cause of wild animal attacks. The injuries are very disastrous and leave...

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Autores principales:	Sangam Rayamajhi, K KC, JM Shrestha, I Lohani
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2017
Materias:	Bear attacks Facial injuries South Asia Reconstructive surgery Surgery RD1-811
Acceso en línea:	https://doaj.org/article/a13f26c1781f4429b184fc328c7ac64f
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spelling	oai:doaj.org-article:a13f26c1781f4429b184fc328c7ac64f2021-12-05T19:16:17ZPattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome10.3126/jssn.v18i1.172091815-39842392-4772https://doaj.org/article/a13f26c1781f4429b184fc328c7ac64f2017-04-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/17209https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Nepal is a country full of forests and with increase in urbanization there is encroachment into the territories of wild animals. Their encounters have been in the rise and bear maul seem to be one of the leading cause of wild animal attacks. The injuries are very disastrous and leave behind permanent disfigurements and disabilities. Methods: All of cases of bear maul treated in TU Teaching Hospital for the last 6 year were studied. Analysis of pattern and severity of the injuries were done along with the complication and its morbidities. Results: Total of 17 cases was studied. Majority of the cases were male and at age of 20 to 40 years. All but one were sudden attack by Himalayan black bear (15 cases) using their claws (in 17 cases) mostly to the face (16 cases), eyes (10 cases) and scalp (8 cases) resulting in fractures (14 cases). There were more proportion of patient with the complex wounds (10 cases) requiring initial debridement followed by closure with graft (5 cases), flap (5 cases) or free flaps (1 case) than the simple wounds which were just debridement and closed with primary (5 cases) or secondary sutures (2 cases). All patients were left with ugly scar and majority had facial disfigurements (12 cases) with major contour deformities (7 cases). Four patients had permanent vision loss in one eye. Conclusion: The rising trend of bear maul injuries, are complex injuries requiring prompt multidisciplinary approach of management. Face and eyes are the most common sites of injuries and often associated with underlying fractures. Bear maul though rarely fatal, leaves permanent disfigurement and disabilities. JSSN 2015; 18 (1), Page: 17-22 Sangam RayamajhiK KCJM ShresthaI LohaniSociety of Surgeons of NepalarticleBear attacksFacial injuriesSouth AsiaReconstructive surgerySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 1 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bear attacks Facial injuries South Asia Reconstructive surgery Surgery RD1-811
spellingShingle	Bear attacks Facial injuries South Asia Reconstructive surgery Surgery RD1-811 Sangam Rayamajhi K KC JM Shrestha I Lohani Pattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome
description	Introduction: Nepal is a country full of forests and with increase in urbanization there is encroachment into the territories of wild animals. Their encounters have been in the rise and bear maul seem to be one of the leading cause of wild animal attacks. The injuries are very disastrous and leave behind permanent disfigurements and disabilities. Methods: All of cases of bear maul treated in TU Teaching Hospital for the last 6 year were studied. Analysis of pattern and severity of the injuries were done along with the complication and its morbidities. Results: Total of 17 cases was studied. Majority of the cases were male and at age of 20 to 40 years. All but one were sudden attack by Himalayan black bear (15 cases) using their claws (in 17 cases) mostly to the face (16 cases), eyes (10 cases) and scalp (8 cases) resulting in fractures (14 cases). There were more proportion of patient with the complex wounds (10 cases) requiring initial debridement followed by closure with graft (5 cases), flap (5 cases) or free flaps (1 case) than the simple wounds which were just debridement and closed with primary (5 cases) or secondary sutures (2 cases). All patients were left with ugly scar and majority had facial disfigurements (12 cases) with major contour deformities (7 cases). Four patients had permanent vision loss in one eye. Conclusion: The rising trend of bear maul injuries, are complex injuries requiring prompt multidisciplinary approach of management. Face and eyes are the most common sites of injuries and often associated with underlying fractures. Bear maul though rarely fatal, leaves permanent disfigurement and disabilities. JSSN 2015; 18 (1), Page: 17-22
format	article
author	Sangam Rayamajhi K KC JM Shrestha I Lohani
author_facet	Sangam Rayamajhi K KC JM Shrestha I Lohani
author_sort	Sangam Rayamajhi
title	Pattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome
title_short	Pattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome
title_full	Pattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome
title_fullStr	Pattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome
title_full_unstemmed	Pattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome
title_sort	pattern of bear maul injuries in tertiary hospital in nepal: demographic, management and outcome
publisher	Society of Surgeons of Nepal
publishDate	2017
url	https://doaj.org/article/a13f26c1781f4429b184fc328c7ac64f
work_keys_str_mv	AT sangamrayamajhi patternofbearmaulinjuriesintertiaryhospitalinnepaldemographicmanagementandoutcome AT kkc patternofbearmaulinjuriesintertiaryhospitalinnepaldemographicmanagementandoutcome AT jmshrestha patternofbearmaulinjuriesintertiaryhospitalinnepaldemographicmanagementandoutcome AT ilohani patternofbearmaulinjuriesintertiaryhospitalinnepaldemographicmanagementandoutcome
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Pattern of bear maul injuries in tertiary hospital in Nepal: demographic, management and outcome

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