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Cited by 34Injury Epidemiology and PreventionHuman-Animal Interaction StudiesFacial Trauma and Fracture Management

The DOI matches its Crossref record; 55 of the 55 references it cites were found in a registry or an index.

Dog bite injuries to the face: Is there risk with breed ownership? A systematic review with meta-analysis

Essig, Garth F., Sheehan, Cameron, Rikhi, Shefali, Elmaraghy, Charles A., Christophel, J. Jared·2019·International Journal of Pediatric Otorhinolaryngology

Abstract

Introduction Dog bite injuries to the face are a serious, yet modifiable public health concern. This study explores the relationship between dog breed and the risk of biting and injury. The objective of this study is to determine the relative risk and severity of dog bite injuries to the face by breed. Methods Retrospective chart review of facial dog bite injuries presenting to the University of Virginia Health System and Nationwide Children's Hospital. Additionally, descriptive data was collected from 240 patients over the last 15 years. Bite risk by breed was assessed by a literature search from 1970 to current. A composite measure was used to determine the severity of injury, and characterize each patient into an ordinal scale of bite severity. An average of each breed bite rate within each study was calculated and combined to create an empiric bite risk by breed. Dog breeds were also further characterized morphologically. Results Bite risk by breed from the literature review and bite severity by breed from our case series were combined to create a total bite risk plot. Injuries from Pitbull's and mixed breed dogs were both more frequent and more severe. This data is well-suited for a bubble plot showing bite risk on the x-axis, bite severity on the y-axis, and size of the bubble by number of cases. This creates a "risk to own" graphic for potential dog owners. Conclusions Breeds vary in both rates of biting and severity. The highest risk breeds had both a high rate of biting and caused significant tissue injury. Physical characteristics can also help determine risk for unknown or mixed dog breeds. Potential dog owners can utilize this data when assessing which breed to own.

Overview

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Crossref · 10.1016/j.ijporl.2018.11.028

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Research works printed but not linked: 1

  1. Schalamon, 2006, Analysis of dog bites in children who are younger than 17 years, Pediatrics, 117, 374, 10.1542/peds.2005-1451 · DOI · Paper page

Cited by

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Metadata

Authors
Essig, G. F., Sheehan, C., Rikhi, S., Elmaraghy, C. A., & Christophel, J. J.
Affiliations
  • Nationwide Children's Hospital (US)
  • Baylor College of Medicine (US)
  • University of Virginia (US)
Corresponding author
Essig, Garth F.
Venue
International Journal of Pediatric Otorhinolaryngology
Publisher
Elsevier BV
Published
2019-02
Volume
117
Pages
182-188
ISSN
0165-5876 (ISSN-L)
OpenAlex
W2902168520
Cited by
34
References
58
Citations by year
2026: 5 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 3
FWCI
0.41
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • International Journal of Pediatric Otorhinolaryngology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
  • Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Human-Animal Interaction Studies
  • Health Sciences › Medicine › Surgery › Facial Trauma and Fracture Management
Keywords
dog bites, facial trauma, dog breeds, bite severity, pit bulls, mixed-breed dogs, dog ownership, dog morphology
MeSH terms
Animals, Bites and Stings, Dental Occlusion, Dogs, Facial Injuries, Humans, Ownership, Risk Factors, Trauma Severity Indices

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CoChat. (2026). Citation check: Dog bite injuries to the face: Is there risk with breed ownership? A systematic review with meta-analysis. https://app.cochat.ai/papers/10.1016/j.ijporl.2018.11.028
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Essig, G. F., Sheehan, C., Rikhi, S., Elmaraghy, C. A., & Christophel, J. J. (2019). Dog bite injuries to the face: Is there risk with breed ownership? A systematic review with meta-analysis. International Journal of Pediatric Otorhinolaryngology. https://doi.org/10.1016/j.ijporl.2018.11.028

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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