Original Article

Cow gore related orofacial injuries: a review of cases managed at a semi-urban Hospital in Nigeria

Babatunde O. Bamgbose , Thomas Owobu, Basil T. Ojukwu, Auwal S. Balarabe

Babatunde O. Bamgbose
Department of Oral and Maxillofacial Radiology and Surgery, Lagos University Teaching Hospital, Lagos, Nigeria. Email: drtundebamgbose@yahoo.com

Thomas Owobu
Department of Dental and Maxillofacial, Federal Medical Center, Nguru, Yobe State, Nigeria

Basil T. Ojukwu
Department of Public Health, Intercountry Center for Oral Health (ICOH), Jos, Plateau State, Nigeria

Auwal S. Balarabe
Department of Child Dental Health, Faculty of Dentistry, Bayero University Kano, Kano, Nigeria
Online First: December 01, 2020 | Cite this Article
Bamgbose, B., Owobu, T., Ojukwu, B., Balarabe, A. 2020. Cow gore related orofacial injuries: a review of cases managed at a semi-urban Hospital in Nigeria. Journal of Dentomaxillofacial Science 5(3): 141-145. DOI:10.15562/jdmfs.v5i3.1118

Objective: This study reviewed such cases with oro- facial injuries as presented at the hospital for the period of seven years.

Material and Methods: The study sample size consists of a total of 22 patients who had various degrees of orofacial injuries were seen and managed during the period of study. Although some of the case were considered severe, there was no fatality recorded during the period under review. Some patients with soft tissues avulsion at any part of the body revealed jagged wound edges and, in some cases, the wounds were still bleeding at the time of presentation.

Results: A total of 22 patients of which 19 were males (86.36%) and 3 females (13.64%) were received and treated at the Oral and Maxillofacial department during the period under review. A gender ratio of male to female, 6.33 :1, was recorded. 14(63.64%) of the number had fracture of oro-facial bone.  The data were analyzed using statistical package for social sciences (SPSS) version 20.0 (SPSS Inc, Chicago, IL).

Conclusion: Farm safety experts estimate that more than half of cow injuries can be prevented by using some type of personal protective equipment, depending on the work activity. Unfortunately, most herders in developing world does not have this protective equipment thereby increasing the risk or frequently sustaining injuries from cow attacks.


Wasadikar PP, Paunikar RG, Deshmuka SB. Bull horn injuries in rural India. J Indian Med Assoc 1997;19: 3-4

Langley RL, Hunter JL. Occupational fatalities due to animal-related events. Wilderness Environ Med 2001;12: 168-174.

Sabo SY, Yusufo LMD. Injuries from cow gore in adults among Fulani. Trop Doct 2007;37: 111-112.

Hemsworth PH, Coleman GJ, Barnett JL, et al. Relationships between human-animal interactions and productivity of commercial dairy cows. Anim Sci J 2000;78: 2821-2831.

Bury D, Langlois N, Byard RW. Animal-related fatalities--part I: characteristic autopsy findings and variable causes of death associated with blunt and sharp trauma. J Forensic Sci 2012;57: 370-374.

Rudloff U, Gonzalez V, Fernandez E, et al. Chirurgica Taurina: a 10-year experience of bullfight injuries. J Trauma 2006;61: 970-974.

Austin CC. Nonvenomous animal-related fatalities in the United States workplace, 1992-1994. J Agromed 1998;5: 5-16.

Bakkannavar SM, Monteiro FN, Bhagavath P, et al. Death by attack from a domestic buffalo. J Forensic Leg Med 2010;17: 102-104.

Dogan KH, Demirci S, Erkol Z, et al. Injuries and deaths occurring as a result of bull attack. J Agromedicine 2008;13: 191-196.

Brison RJ, Pickett CW. Nonfatal injuries in 117 eastern Ontario beef and dairy farms: A one-year study. Am J Ind Med 1992;21: 623-636.

Padilla-Fernandez B, Diaz Alferez FJ, Garcia MA, et al. Bladder neck rupture following perineal bull horn injury: a surgical challenge. Clin Med Insights Case Rep. 2012;5: 123-128

Dubey IB, Mohanty D, Jain BK. Diverse presentation of spontaneous rupture of urinary bladder: review of two cases and literature. Am J Emerg Med 2012;30: 832.

Casey GM, Grant AM, Roerig AD, et al. Farm worker injuries associated with cows. AAOHN J 1997;45: 446-450.

Boyle D, Gerberich SG, Gibson RW, et al. Injury from dairy cattle activities. Epidemiol 1997;8: 37-41.

Saar PEH, Dimich-Ward KD, Kelly DC. et al. Farm injuries and fatalities in British Columbia, 1990-2000. Canadian J Public Health 2006;97: 100-104.

Katzen JT, Jarrahy R, Eby JB et al. Craniofacial and skull base trauma. J Trauma 2003;54: 1026-1034.

Risdon F. The surgical treatment of facial injuries. Can Med Assoc J 1938;38: 33-36.

Jones JK, Van-Sickels JE. Rigid fixation: A review of concepts and treatment of fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1988;65: 13-18.

Posnick JC, Wells M, Pron GE. Paediatric facial fractures-evolving patterns of treatment. J Oral Maxillofac Surg 1993;51: 836-844.

Lizuka T, Randall T, Given O, et al. Maxillofacial fractures related to work accidents. J Craniomaxillofac Surg 1990;8: 255-259.

Nogalski A, Jankiewicz L, Cwik G, et al. Animal related injuries treated at the Department of Trauma and Emergency Medicine, Medical University of Lublin. Ann Agric Environ Med 2007;14: 57-61.

Ajike SO, Adebayo ET, Amanyiewe EU, et al. An epidemiological survey of maxillofacial fractures and concomitant injuries in Kaduna, Nigeria. Nig J Surg Res 2005;7: 251-255.

Fonseca RJ, Bruce R, Walker R. Trauma volume. Oral Maxillofac Surg Washington Manual 2001: 19-34.

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