One case of a bear-inflicted facial wound *
In the Japanese media there have been an unusual number of reports of people being attacked by bears this year. We also had a case of a 51-year-old man who encountered a mother bear and her cub, and suffered facial wounds. The majority of bear attacks are focused on the head and neck areas, and these attacks can sometimes be fatal depending on. In addition to providing first-aid treatment, it is necessary to take preventative measures against infectious and parasitic diseases. In particular, extreme care must be taken regarding of tetanus and gas bacillus disease. In the treatment of soft tissue wounds of the face, functional and morphorlogical reconstruction of the face to its original condition is necessary. Considering the loss of tissue and color matching of the surrounding skin, the selection of composite grafts including dermal flaps, skin grafts and bone is also necessary. Furthermore, depending on the degree of external wounds, it is necessary to make a clinical observations for six months to a year while managing the functional and morphorlogical sides of the case.（Accepted on December 20，2004）
