Ent 2019: A rare case of Camel bite to the face resulting in injuries to parotid duct facial nerve, and globe

Introduction: Camel bites are relatively uncommon. They are more common during the rutting season where male camels become more aggressive. Hereby we report a unique case of a 25-year-old man who was repeatedly bitten to his face and neck by an aggressive camel that resulted in left eye evisceration, parotid duct injury, and facial nerve injury. Creature nibble wounds shift as indicated by the land circulation, conduct, and life systems of creatures. Human wounds brought about by camel chomps are generally uncommon. They are increasingly normal during the rutting season where male camels become progressively forceful. Because of the perplexing instrument of camel chomps, it is normally connected with high dismalness. The head and neck continue visit and extreme wounds. Wounds may include facial injuries, skull cracks, intracranial dying, and cervical neurovascular wounds. In this, we report a one of a kind instance of a patient who continued various camel nibbles to his face and neck that brought about left eye gutting, parotid channel injury, and facial nerve injury. As far as we could possibly know, this is the main instance of globe break brought about by a camel nibble. Camel chomp wounds change from separation of scalp, skull breaks, mind wounds, horrible tracheostomy, basic carotid supply route injury, crack ramus,2 orbital crack disengagement of the temporomandibular joint, and gas gangrene to cracks with or without neurovascular involvement.3 All delicate tissue wounds and cracks ought to be viewed as sullied, so all patients ought to be given lockjaw antibody and wide range anti-microbial coverage.4 During conclusion if there are hidden bone breaks, numerous creators accept that they ought to be treated by essential conclusion following decrease and obsession of the fundamental bone. Presentation of case: A 25-year-old male camel caregiver presented with history of camel bite to the left side of his head and neck. There were multiple laceration wounds on the left side of his face and neck. Maxillofacial CT showed a fracture of the medial orbital wall with sagging of medial rectus muscle into the fracture space, medial rectus muscle hematoma, fracture of lacrimal bone and displacement of piece of it into the orbit, left preseptal hematoma, complete opacification of left intraocular content (hemorrhage), crystalline lens was not identified, and the eye appeared as one chamber with loss of the eyewall integrity. He underwent an emergency wound exploration and debridement. There was a massive corneal laceration with expulsion of the eye content. Salvaging the left eye was not possible, and evisceration of the eye was performed. The left cheek wound site revealed macerated muscle with a partially transected Parotid duct which was approximated. On a postoperative day 6, the patient developed a small left-sided salivary fistula. This was managed with Hyoscine tablets, transdermal scopolamine, and pressure dressing. The patient was discharged home on day 9 in a good general condition. A follow up at one month showed a satisfactory scar, completely healed salivary fistula, and a residual weak upper lip function. Conclusion: Camel bite injuries to the face may result in serious long-term sequelae. Extreme care should be taken when dealing with camels, especially during the rutting season. The details of the case and management of parotid duct injury will be discussed.

Author(s): Mohamed A. Al-Ali, Korana Balac, Tahra AlMahmoud and Fikri Abu-Zidan

Abstract | PDF

Share This Article