BACKGROUND:Stay-at-home injunction during COVID-19 pandemic led to new dynamics in households and increased the risk of domestic accidents involving pets. The aim of the study was to demonstrate an increase of facial dog bites in children during first lockdown period in France, compared to the same period in 2018 and 2019. Secondary objective was to investigate the demographics and circumstances in which dog bites occurred. METHODS:A retrospective multicentric study was conducted nationwide. Patients under 18 years old managed in fifteen oral and maxillofacial surgery departments for a dog bite were included. RESULTS:Eighty-seven patients were included. A significant increase of the number of children managed for facial dog bite was noticed in 2020 (p=0.0005). The male-to-female ratio was significantly reversed in 2020 with more bites in girls than boys (p=0.02). In 2020, children were mostly bitten to cheeks (28.6 %), lips-and-chin region (26.2 %), and eyelids (23.8 %). Severe bites increased in 2020, in comparison with 2018 and 2019. Dog bites occurring while petting or playing significantly increased in 2020 (31 %) (p=0.03). CONCLUSION:The process leading to bites is highly dependent on the balance of dog-owner relationship. This was strongly disrupted during COVID-19 pandemic, resulting in the increase of dog bites in households. Regarding dog bites, face is the most vulnerable area in children. Its injury has lots of esthetic and functional consequences and maxillofacial surgeons have a key role to play in their prevention. Reminders of some of these management and prevention strategies are presented in this article.

We report the case of a 59-year-old, obese woman who underwent prolonged prone position during the medical management of an acute respiratory distress syndrome induced by SARS-CoV-2 infection, complicated by a masseter muscle pressure injury. Such side effect may be underestimate in intensive care units and should be prevent by prophylactic dressings on facial weight-bearing sites. The understanding of facial deep tissue injury is essential to guide clinical detection and management of such a complication in COVID-19 patients.

HomeRadiologyVol. 306, No. 1 PreviousNext Reviews and CommentaryFree AccessImages in RadiologyOssification of Stylohyoid Complex in Eagle SyndromeAdèle Rohée-Traoré , Sophie BoucherAdèle Rohée-Traoré , Sophie BoucherAuthor AffiliationsFrom the Department of Maxillofacial Surgery (A.R.T.) and Department of ENT and Head and Neck Surgery (S.B.), Angers University Hospital, CHU d’Angers, 4 rue Larrey, 49933 Angers, France; Faculty of Medicine, Angers University, Angers, France (A.R.T., S.B.); and MitoLab Team, MitoVasc Institute, CNRS UMR6015, INSERM U1083, Angers, France (S.B.).Address correspondence to A.R.T. (email: [email protected]).Adèle Rohée-Traoré Sophie BoucherPublished Online:Aug 30 2022https://doi.org/10.1148/radiol.220367MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In Online supplemental material is available for this article.A 47-year-old man presented to the ear, nose, and throat surgery department with a 1-month history of intermittent dull pain, localized in left antero-latero-cervical and retromolar regions. The pain was incompletely relieved by paracetamol and worsened by eating. He had no relevant medical history. At oral examination, a bony prominence was felt during left tonsillar fossa palpation. Orthopantomography was performed, showing an additional bone from the skull base to the hyoid bone (Fig E1 [online]). CT scan with three-dimensional reconstruction (Figure; Movies E1, E2 [online]) showed a 7.4-cm ossified stylohyoid complex on the left, merged with the homolateral lesser cornu of the hyoid bone. Eagle syndrome was diagnosed. The patient declined surgery. He received analgesics and nonsteroidal anti-inflammatory drugs (NSAIDs) during painful episodes. After 2 months follow-up, he remained satisfied with medical management.A 47-year-old man presented to the ear, nose, and throat surgery department with a 1-month history of intermittent pain, localized in left antero-latero-cervical and retromolar regions. CT scan with three-dimensional reconstruction shows an ossified stylohyoid complex on the left (arrows), merged with the homolateral lesser cornu of the hyoid bone (arrowhead).Download as PowerPointOpen in Image Viewer Get the Flash Player to see this video.Movie E1: Movie file of the volume rendered neck CT with 360 degrees of rotation.Download Original Video (19.9 MB)Get the Flash Player to see this video.Movie E2: Movie file of the original axial neck CT.Download Original Video (11.0 MB)Classically, Eagle syndrome manifests with cervical pain, dysphagia, and a foreign body sensation associated with an elongated styloid process. An elongated styloid process has a prevalence in approximately 4% of the population, among which approximately 4%–10% have symptoms. Eagle syndrome occurs more frequently in elderly women between 60 and 79 years of age. Neck CT scan is the reference standard for diagnosis. Eagle syndrome can be medically managed with analgesics, NSAIDs, and corticosteroid injections. When indicated, surgical removal through an intraoral or cervical approach can be used (1,2).Disclosures of conflicts of interest: A.R.T. No relevant relationships. S.B. No relevant relationships.References1. Badhey A, Jategaonkar A, Anglin Kovacs AJ, et al. Eagle syndrome: A comprehensive review. Clin Neurol Neurosurg 2017;159:34–38. Crossref, Medline, Google Scholar2. Costantinides F, Vidoni G, Bodin C, Di Lenarda R. Eagle’s syndrome: signs and symptoms. Cranio 2013;31(1):56–60. Crossref, Medline, Google ScholarArticle HistoryReceived: Feb 15 2022Revision requested: Mar 7 2022Revision received: Apr 19 2022Accepted: Apr 21 2022Published online: Aug 30 2022Published in print: Jan 2023 FiguresReferencesRelatedDetailsRecommended Articles Foreign Bodies on Lateral Neck Radiographs in Adults: Imaging Findings and Common PitfallsRadioGraphics2017Volume: 37Issue: 1pp. 323-345Imaging the External Ear: Practical Approach to Normal and Pathologic ConditionsRadioGraphics2022Volume: 42Issue: 2pp. 522-540Nontraumatic Head and Neck EmergenciesRadioGraphics2019Volume: 39Issue: 6pp. 1808-1823Traumatic Neck and Skull Base InjuriesRadioGraphics2019Volume: 39Issue: 6pp. 1796-1807CT of Skull Base Fractures: Classification Systems, Complications, and ManagementRadioGraphics2021Volume: 41Issue: 3pp. 762-782See More RSNA Education Exhibits It’S Time To Leave No Stone Unturned: Reviewing The Hyoid-larynx Complex And Styloid Process Anatomy And Associated LesionsDigital Posters2021Congenital Craniofacial Anomalies: A Rational On ImagingDigital Posters2021How the Radiologist Can Help: Important Anatomic Landmarks in the Treatment of Oral Cavity, Oropharyngeal and Laryngeal Carcinoma and Their Impact on Surgical Options, Esthetic, Functional and Psychological ChallengesDigital Posters2019 RSNA Case Collection Primary Calvarial Lymphoma RSNA Case Collection2021Temporal bone fibrous dysplasiaRSNA Case Collection2020Congenital Midline Cervical CleftRSNA Case Collection2021 Vol. 306, No. 1 Supplemental MaterialMetrics Altmetric Score PDF download