According to an article from WYMT, Dakota Phillips got into an altercation with his sister which resulted in him biting off the tip of her nose. Letcher County officials say  they believe drugs and alcohol were involved, they say they spoke with him on the phone and he had no idea that his sister had been hurt, or that he was the one responsible. The girl was taken to the hospital where she received plastic surgery. Officials say in addition to her nose the girl had damage to her wrist and neck. She is expected to be okay. Officials are still investigating.BOY BITES SISTERS NOSE