An attack by a dog with facial injuries can result in severe disfigurement. The degree of impairment depends on both physical and psychological factors. The first facial transplant was performed to correct massive facial injuries from a dog attack.
Risk factors for impairment following injury:
(1) young age
(2) severe injuries to the face
(3) complications
(3a) chronic bacterial infections
(3b) nerve damage
(3c) loss of vision
(3d) rabies or tetanus
(3e) scarring
(4) post-traumatic stress disorder
(5) painful and prolonged reconstruction
where:
• Most dog attacks affect young children.
Severe injuries may affect:
(1) loss of one or both lips
(2) loss of the eyelids
(3) loss of one or both cheeks
(4) loss of the nose
(5) loss of one or both ears
Injuries may include:
(1) dental bites
(2) avulsions
(3) claw marks
Consequences of disfigurement:
(1) impaired social and intimate relationships
(2) impaired functioning at school or work
(3) impaired social and recreational activities
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