关键词: Clinical forensic medicine Complete external ear amputation Human bite Interpersonal violence

Mesh : Amputation, Traumatic / etiology pathology surgery Bites, Human / pathology Ear, External / injuries surgery Forensic Dentistry Forensic Pathology Humans Male Middle Aged Photography Physical Abuse Replantation

来  源:   DOI:10.1016/j.jflm.2020.101936   PDF(Sci-hub)

Abstract:
We present a case of a complete external ear amputation, caused by a human bite, that took place during a quarrel in a local farmers\' market. The male victim was transferred to the Hospital. After surgical reattachment of the auricle, a forensic clinical examination was performed, as per legal obligation. During examination, the victim was found to have sustained: contusions of the orbital regions (lower eyelids), bilaterally, soft tissue oedema of the forehead (to the left of the middle line), and contusion of the right neck area. He also sustained multiple soft tissue injuries (contusions, abrasions) on the torso and on both upper and lower extremities. Clinical forensic examination of human bite injuries requires thorough description of the wound, proper photography and possibly collection of swabs for DNA identification (in case of unknown perpetrator). Nevertheless, the Forensic Pathologist is often required to perform clinical examination, only after medical care has been provided. Therefore, clinicians should be aware of the need of proper documentation and act accordingly.
摘要:
我们提出一个完全外耳截肢的病例,由人类咬伤引起的,发生在当地农贸市场的争吵中。男性受害者被转移到医院。耳廓手术后,进行了法医临床检查,根据法律义务。考试期间,受害者被发现持续:眶区(下眼睑)挫伤,双边,额头的软组织水肿(中线的左侧),右颈部挫伤.他还遭受了多处软组织损伤(挫伤,擦伤)在躯干和上肢和下肢。人体咬伤的临床法医检查需要对伤口进行彻底描述,适当的摄影和可能的拭子收集DNA鉴定(在未知的肇事者的情况下)。然而,法医病理学家通常需要进行临床检查,只有在提供医疗服务之后。因此,临床医生应该意识到需要适当的文件,并采取相应的行动。
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