Tympanal bone fracture in forensic practice

被引:1
|
作者
Evain, France [1 ,2 ]
Lovblad, Karl-Olof [3 ]
Fracasso, Tony [1 ,2 ]
机构
[1] Univ Geneva, Forens Pathol, Univ Ctr Legal Med, Rue Michel Servet 1, CH-1211 Geneva 4, Switzerland
[2] Geneva Univ Hosp, Rue Michel Servet 1, CH-1211 Geneva 4, Switzerland
[3] Geneva Univ Hosp, Div Neuroradiol, Diag Dept, Rue Gabrielle Perret Gentil 4, CH-1205 Geneva, Switzerland
关键词
Tympanal; Fracture; Blunt; Head; Trauma; PLATE FRACTURE; MANDIBULAR CONDYLE; POSTERIOR DISLOCATION; TRAUMA;
D O I
10.1007/s00414-021-02682-0
中图分类号
DF [法律]; D9 [法律]; R [医药、卫生];
学科分类号
0301 ; 10 ;
摘要
A tympanal bone fracture is an uncommon complication of head trauma and is mostly associated with a mandibular or petrous bone fracture. Upon reviewing the medicolegal literature, we could not find any publications on this topic. Tympanal bone fracture may lead to chronic complications (including external auditory canal stenosis and conductive hearing loss), with an important impact in both the medical and judiciary fields (e.g., chronic disabilities with loss of income). We decided to investigate the prevalence and mechanisms of tympanal bone fractures by means of a retrospective observational study on living victims who underwent head computed tomography after blunt head trauma and clinical forensic investigation at our center. We selected 159 cases of living victims with blunt head trauma (following an assault, traffic accident, or work accident) between January 2016 and December 2020. Re-examination of head imaging revealed 12 cases of tympanal bone fracture. Seven individuals showed cranial fractures involving the petrous bone (on the same side as the tympanal bone fracture). Three individuals had a temporomandibular fracture after a fall with chin impact. Only two victims exhibited an isolated tympanal bone fracture.
引用
收藏
页码:2653 / 2658
页数:6
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