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Case Reports
. 2020 Sep;36(9):e530-e533.
doi: 10.1097/PEC.0000000000001097.

Binky Bites and Other Oronasal Pressure Injuries

Louisa B Mook  1 , James B Metz  1 , Stephen C Boos  2 , Kenneth W Feldman  1
Affiliations
Case Reports

Binky Bites and Other Oronasal Pressure Injuries

Louisa B Mook et al. Pediatr Emerg Care. 2020 Sep.

Abstract

Initial examination and exploration of childhood injuries may not lead to an obvious explanation of abuse. Although abusive oronasal injuries have been described, ones including nasal destruction are rare. We describe 4 children abused using implements that ultimately were thought to have caused significant nasal tissue destruction. In 2 of the cases, a forced pacifier placement was implicated in causing pressure injuries. In the other 2 cases, gags were part of the children's injuries. All 4 children had other findings of abuse and neglect.

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References

    1. Jenny C, Hymel KP, Ritzen A, et al. Analysis of missed cases of abusive head trauma. JAMA. 1999;281:621–626.
    1. Thorpe EL, Zuckerbraun NS, Wolford JE, et al. Missed opportunities to diagnose child physical abuse. Pediatr Emerg Care. 2014;30:771–776.
    1. Maguire S, Hunter B, Hunter L, et al. Diagnosing abuse: a systematic review of torn frenum and other intra-oral injuries. Arch Dis Child. 2007;92:1113–1117.
    1. Naidoo S. A profile of the oro-facial injuries in child physical abuse at a children's hospital. Child Abuse Negl. 2000;24:521–534.
    1. McIntosh N, Mok JY, Margerison A, et al. The epidemiology of oro-nasal haemorrhage and suffocation in infants admitted to hospital in Scotland over 10 years. Arch Dis Child. 2010;95:810–816.

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