Forensic-medical determination of the severity of closed injuries of the hyoid-laryngeal complex according to the data of a specialized clinic
Victims with closed blunt trauma of the hyoid-laryngeal complex often become the object of forensic examination. The purpose of the work was the forensic determination of the severity of injuries of the hyoid-laryngeal complex based on the materials of a specialized otolaryngological clinic in order...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dnipro State Medical University
2023-09-01
|
| Series: | Medičnì Perspektivi |
| Subjects: | |
| Online Access: | https://journals.uran.ua/index.php/2307-0404/article/view/289205 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832544025715933184 |
|---|---|
| author | M.V. Gubin V.O. Olkhovskyi G.I. Garyuk V.M. Gubin |
| author_facet | M.V. Gubin V.O. Olkhovskyi G.I. Garyuk V.M. Gubin |
| author_sort | M.V. Gubin |
| collection | DOAJ |
| description | Victims with closed blunt trauma of the hyoid-laryngeal complex often become the object of forensic examination. The purpose of the work was the forensic determination of the severity of injuries of the hyoid-laryngeal complex based on the materials of a specialized otolaryngological clinic in order to establish ways to improve the effectiveness of forensic diagnostics. 62 medical inpatient and outpatient cards of patients with injuries of the hyoid-laryngeal complex, who were treated in the Kharkiv clinical otolaryngological hospital No. 30 during 2011-2021, were processed. The mechanism of occurrence of injuries of the hyoid-laryngeal complex was as follows: in 51 (82.3% of cases there were blows to the neck with blunt hard objects (blows with fists and other objects), in 11 (17.7%) cases – squeezing of the neck with hands or blunt hard objects. The severity of injuries of the hyoid-laryngeal complex was determined from a forensic-medical point of view based on the observations of patients in a specialized hospital. Injuries of the hyoid-laryngeal complex in 3 (4.8%) patients with the occurrence of life-threatening phenomena, namely acute respiratory failure, were assessed as serious ones. Injuries in 8 (12.9%) patients were assessed as injuries of medium severity, mainly in cases of laryngeal cartilage fractures due to the lack of danger to life. Injuries in 38 (61.3%) patients were assessed as slight physical injuries that caused a short-term health disorder, mainly in cases of damage to the soft tissues of the larynx (hematoma, hemorrhage, swelling). Injuries in 13 (20.9%) patients in cases of acute post-traumatic laryngitis without pronounced morphological changes were assessed as slight ones. It was determined that additional diagnostic criteria for determining the severity of injuries of the hyoid-laryngeal complex, which have to be considered are: the dynamics and terms of restoration of post-traumatic morphological-clinical, and functional changes, the occurrence of life-threatening phenomena. The conducted scientific work made it possible to determine the ways of further improvement of diagnostics in the forensic-medical determination of the severity of the investigated injuries. |
| format | Article |
| id | doaj-art-e7cb3651f39d4ae2a8dcab7fbf8da9ff |
| institution | Kabale University |
| issn | 2307-0404 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Dnipro State Medical University |
| record_format | Article |
| series | Medičnì Perspektivi |
| spelling | doaj-art-e7cb3651f39d4ae2a8dcab7fbf8da9ff2025-02-03T11:15:28ZengDnipro State Medical UniversityMedičnì Perspektivi2307-04042023-09-012839410910.26641/2307-0404.2023.3.289205327479Forensic-medical determination of the severity of closed injuries of the hyoid-laryngeal complex according to the data of a specialized clinicM.V. Gubin0https://orcid.org/0000-0002-2383-3211V.O. Olkhovskyi1https://orcid.org/0000-0003-2843-2692G.I. Garyuk2https://orcid.org/0000-0003-0344-8997V.M. Gubin3https://orcid.org/0009-0009-8795-5152Kharkiv National Medical University, Nauki ave., 4, Kharkiv, 61022Kharkiv National Medical University, Nauki ave., 4, Kharkiv, 61022Kharkiv National Medical University, Nauki ave., 4, Kharkiv, 61022Kharkiv National Medical University, Nauki ave., 4, Kharkiv, 61022Victims with closed blunt trauma of the hyoid-laryngeal complex often become the object of forensic examination. The purpose of the work was the forensic determination of the severity of injuries of the hyoid-laryngeal complex based on the materials of a specialized otolaryngological clinic in order to establish ways to improve the effectiveness of forensic diagnostics. 62 medical inpatient and outpatient cards of patients with injuries of the hyoid-laryngeal complex, who were treated in the Kharkiv clinical otolaryngological hospital No. 30 during 2011-2021, were processed. The mechanism of occurrence of injuries of the hyoid-laryngeal complex was as follows: in 51 (82.3% of cases there were blows to the neck with blunt hard objects (blows with fists and other objects), in 11 (17.7%) cases – squeezing of the neck with hands or blunt hard objects. The severity of injuries of the hyoid-laryngeal complex was determined from a forensic-medical point of view based on the observations of patients in a specialized hospital. Injuries of the hyoid-laryngeal complex in 3 (4.8%) patients with the occurrence of life-threatening phenomena, namely acute respiratory failure, were assessed as serious ones. Injuries in 8 (12.9%) patients were assessed as injuries of medium severity, mainly in cases of laryngeal cartilage fractures due to the lack of danger to life. Injuries in 38 (61.3%) patients were assessed as slight physical injuries that caused a short-term health disorder, mainly in cases of damage to the soft tissues of the larynx (hematoma, hemorrhage, swelling). Injuries in 13 (20.9%) patients in cases of acute post-traumatic laryngitis without pronounced morphological changes were assessed as slight ones. It was determined that additional diagnostic criteria for determining the severity of injuries of the hyoid-laryngeal complex, which have to be considered are: the dynamics and terms of restoration of post-traumatic morphological-clinical, and functional changes, the occurrence of life-threatening phenomena. The conducted scientific work made it possible to determine the ways of further improvement of diagnostics in the forensic-medical determination of the severity of the investigated injuries.https://journals.uran.ua/index.php/2307-0404/article/view/289205forensic-medical examinationtrauma of the hyoid-laryngeal complexdiagnostic criteriadegree of severity of physical injuries |
| spellingShingle | M.V. Gubin V.O. Olkhovskyi G.I. Garyuk V.M. Gubin Forensic-medical determination of the severity of closed injuries of the hyoid-laryngeal complex according to the data of a specialized clinic Medičnì Perspektivi forensic-medical examination trauma of the hyoid-laryngeal complex diagnostic criteria degree of severity of physical injuries |
| title | Forensic-medical determination of the severity of closed injuries of the hyoid-laryngeal complex according to the data of a specialized clinic |
| title_full | Forensic-medical determination of the severity of closed injuries of the hyoid-laryngeal complex according to the data of a specialized clinic |
| title_fullStr | Forensic-medical determination of the severity of closed injuries of the hyoid-laryngeal complex according to the data of a specialized clinic |
| title_full_unstemmed | Forensic-medical determination of the severity of closed injuries of the hyoid-laryngeal complex according to the data of a specialized clinic |
| title_short | Forensic-medical determination of the severity of closed injuries of the hyoid-laryngeal complex according to the data of a specialized clinic |
| title_sort | forensic medical determination of the severity of closed injuries of the hyoid laryngeal complex according to the data of a specialized clinic |
| topic | forensic-medical examination trauma of the hyoid-laryngeal complex diagnostic criteria degree of severity of physical injuries |
| url | https://journals.uran.ua/index.php/2307-0404/article/view/289205 |
| work_keys_str_mv | AT mvgubin forensicmedicaldeterminationoftheseverityofclosedinjuriesofthehyoidlaryngealcomplexaccordingtothedataofaspecializedclinic AT voolkhovskyi forensicmedicaldeterminationoftheseverityofclosedinjuriesofthehyoidlaryngealcomplexaccordingtothedataofaspecializedclinic AT gigaryuk forensicmedicaldeterminationoftheseverityofclosedinjuriesofthehyoidlaryngealcomplexaccordingtothedataofaspecializedclinic AT vmgubin forensicmedicaldeterminationoftheseverityofclosedinjuriesofthehyoidlaryngealcomplexaccordingtothedataofaspecializedclinic |