Clinical and Medico-legal Aspects of Maxillofacial and Neck Injuries Complicated by Infection
International Journal of Clinical Oral and Maxillofacial Surgery
Volume 5, Issue 2, December 2019, Pages: 42-46
Received: Mar. 31, 2019; Accepted: Oct. 5, 2019; Published: Oct. 24, 2019
Views 61      Downloads 13
Authors
Vyacheslav Popov, Department of Forensic Medicine and Law, Pavlov State Medical University, Saint Petersburg, Russia; Department of Public Law, Admiral Makarov State University of Maritime and Inland Shipping, Saint Petersburg, Russia
Olga Egorova, Department of Forensic Medicine and Law, Pavlov State Medical University, Saint Petersburg, Russia; Department of Stomatology, Mechnikov North-Western State Medical University, Saint Petersburg, Russia
Article Tools
Follow on us
Abstract
One of the most frequent and predictable types of complications in traumas of the maxillofacial area and neck is that of infection, which renders the progression of the trauma more acute. It is infection, when it occurs, that affects the clinical picture and determines the final outcome of the trauma. Inadequate medical methods exacerbate the severity of the progression of the trauma and, consequently, complicate forensic medical assessment of the injury. Nowadays there is no clear definition of acute inflammatory process severity in terms of prevalence and characteristics of its clinical course in maxillofacial area and neck injuries. The aim of our study is to improve criteria for assessing the severity of harm to human health in patients with injuries of the maxillofacial area and neck. We carried out a retrospective analysis of medical records of the inpatients treated from 2008 to 2019 in the department of Oral and Maxillofacial Surgery of St. Petersburg City Hospital No. 15, Russia. All patients had the injuries in the maxillofacial area and neck varying in severity and complicated by infectious processes, differing in their prevalence in the cellular spaces of the maxillofacial area and neck. In all these cases surgery was attempted, but it was not always adequate and timely, which made it more difficult for medical forensics experts to assess the severity of harm to human health resulting from the injury. The results of the study confirm the need to implement the modernized criteria for assessing the severity of harm caused to human health in case of injuries in the maxillofacial area and neck complicated by infectious processes. Their implementation will help bridge the gap between practical needs and the capabilities of forensic medical examination
Keywords
Maxillofacial and Neck Injuries, Infectious Complications, Harm to Human Health
To cite this article
Vyacheslav Popov, Olga Egorova, Clinical and Medico-legal Aspects of Maxillofacial and Neck Injuries Complicated by Infection, International Journal of Clinical Oral and Maxillofacial Surgery. Vol. 5, No. 2, 2019, pp. 42-46. doi: 10.11648/j.ijcoms.20190502.12
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Commentary on the Normative Legal Documents Recording the Procedure for Determining Degree of Harm to Human Health. Saint Petersburg: “Juridical Tsentr Press” Publishing House, 2008, 213 pp.
[2]
Egorova, O. Particularities in Diagnosing Mediastinitis as a Complication of Injuries to Organs of the Neck]. Institut Stomatologii, 2009, Vol. 42, No. 1, pp. 60-61.
[3]
Gubin M., V. Kulikovskiy, A. Oganesyan. Аnaerobic. Non-Costridial Infection of the Face and Neck. Belgorod. 2013.
[4]
Gatterer, M., R. Toon, C. Ellestad, A. McFee, W. Rogers, J. Macj, K. Trinkle, F. Grover. Management of blunt and penetration external esophageal trauma, in: Trauma, 1985, Vol. 25, No. 8, pp. 784-792.
[5]
Govorun, I., A. Goroxov. Injuries to ENT Organs and the Neck in Peacetime and Wartime: A Guide for Doctors. Saint Petersburg: SpetsLit, 2010, 126 pp.
[6]
Klancnik M., Ivaniscevic P., Lupi-Fernandin S., Sucic A., Ledenko V., Lesin M., Krnic Martinic M., Kuscic-Juretic L. Penetrating orbitocranial ingury. Acta Clinica Croatica, 2018, Vol 57, №4, pp. 792-796.
[7]
Lohiya S., Dillon J. Septic Arthritis of the Temporomandibular Joint. Unusual presentations in: Journal Oral Maxillofacial Surgery. 2016, Vol. 74, № 1. P. 87-94.
[8]
Lukosiunas A., R. Kubilius, G. Sabalis, T. Keizeris, and D. Sakavicius. An analysis of etiological factors for traumatic mandibular osteomyelitis, in: Medicina (Kaunas), 2011, Vol. 47, No. 7, pp. 380-385.
[9]
McIntyre, Robert, Gregory Van Stiegmann, Ben Eiseman. Surgical Decision Making [Russian version cited: McIntyre, Robert, Gregory Van Stiegmann, and Ben Eiseman. Surgical Decision Making Translated by Fjodorova, V. and V. Kubyshkina]. Moscow: GEOTAR-Media, 2009, 744 pp.
[10]
Popov, V., S. Skrizhinsky, O. Egorova. Particularities in Assessing Injuries to the Neck and Maxillocacial Area when Complicated by Infectious Processes, in: Forensic Medical Expertise, 2010, Vol. 53, No. 4, pp. 15-18.
[11]
Slesarenko, S., V. Agapov, V. Prelatov. Mediastinitis. Moscow: Medpraktika, 2005, 200 pp.
[12]
Trunin, М. A. Mixailov. Treatment of Neck Wounds and Injuries. Saint Petersburg: ELBI-SPB, 2004, 160 pp.
[13]
Vermel, I., M. Kovaljov, A. Khorkunov. On the Assessment of the Severity of Injuries with Infectious Complications, in: Forensic Medical Expertise, 1994, Vol. 37, No. 3, pp. 10-13.
[14]
Yakovenko L., O. Yakovenko, Gonchar D. The forensic Medical Evaluation of Injuries to the Maxillofacial Region, in: Forensic Medical Expertise, 2016. Vol. 59, № 2, pp. 10-13.
[15]
Zenger, V., A. Nasedkin, V. Parshin. Palate and Trachea Wound Surgery. Moscow: Medkniga, 2007, 364 pp.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186