Gubin M. V., Borsch S. S., Saenko M. S., Gaynanova V. O.

FORENSIC MEDICINE

Scentific article

Victims with a closed blunt laryngeal injury may be subject of forensic-medical examination. Purpose of work: Forensic-medical assessment of laryngeal injuries according to the severity of bodily injuries with usage of the clinical materials of a specialized otolaryngological clinic to determine additional diagnostic criteria for the severity of these injuries. Object and methods. 70 medical inpatients and outpatients cards, patients with laryngeal injuries treated at the Kharkiv сity сlinical otolaryngological hospital №30 during 2011-2021 were analyzed. Results. The formation of injuries occurred by the following mechanisms: in 56 (80%) cases there was a impact of blunt solid objects on the neck, in 14 (20%) cases – compression of the neck with hands and blunt solid objects. A forensic-medical assessment of laryngeal injuries according to the severity of bodily injuries according to the materials of clinical observations was performed. Severe bodily injuries were estimates in 3 (4.3%) cases of traumas with life-threatening phenomena, namely acute respiratory failure. Moderate bodily injuries were estimates in 8 (11.4%) cases of mostly laryngeal injuries with fractures of larynx cartilage in the absence of danger to life. Simple bodily injuries were estimates in 59 (84.3%) cases of mostly laryngeal injuries with the development of post-traumatic laryngitis. The absence of diagnostic morpho-clinical signs for qualitative forensic-medical assessment and prediction of the outcomes of laryngeal injuries has been established in the available scientific and methodological literature. Conclusions. It is determined that additional diagnostic criteria for laryngeal injuries, which must be taken placewhen determining the severity of bodily injuries, should be considered: the dynamics and duration of recovery of post-traumatic morpho-functional changes of the larynx, life-threatening phenomena. According to the results of the study, ways to further improve forensic-medical diagnostics in assessing these injuries according to their severity were identified.

forensic medical examination, laryngeal injury, diagnostic criteria, severity of bodily injuries.

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«Bulletin of problems biology and medicine» Issue 3 (161), 2021 year, 346-350 pages, index UDK 340.66:616.22-001.3

10.29254/2077-4214-2021-3-161-346-350