Because dogs can develop a tremendous force when biting, x-ray studies might be necessary to determine underlying bone and joint injury. Fractured bones must be set. Nerve injuries must be repaired. Dog bites to the neck and face require special considerations. Most occur in children younger than 10 years, and severe brain injury and death are most common in this age group.
Most deaths occur from hemorrhage from the great vessels of the neck.
The nose, mouth, and parotid region is a primary target area for dog bites. Management of facial dog bite injuries. Carotid artery injury with delayed cerebral infarction has been reported. Management of facial dog bite injuries. Depending on the type of bite, the wounds may be closed.