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Accident or crime?About the meaning of face injuries inflicted by blunt force

Forensic Sciences Research 2016年第1期1卷 14-21页

作者： Vera Sterzik David Duckwitz Michael Bohnert Institute of Forensic Medicine Cantonal HospitalSt.GallenSwitzerland Institute of Forensic Medicine Julius-Maximilians-UniversityWurzburgGermany

injuries caused by blunt force are seen frequently in daily forensic ***,especially when there is less information about the surrounding circumstances,it might become difficult to figure out the cause and background of injuries:accident,criminal violence or self-infliction?In the study presented,face injuries caused by blunt force in 694 cases were analyzed comparing the injury patterns in accidents to those in *** turned out injuries of the ear and retroauricular region clearly indicate a ***,soft tissue injuries of nose,upper jaw,and lower jaw point towards a criminal violence,whereas tooth injuries occur with a similar frequency in both crimes and accidents.

关键词： Forensic science blunt force facial injuries head injuries fatalities ear injury retroauricular injury accident criminal violence

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Comparative Analysis of Two Methods for the Assessment of Aesthetic Impairment Involving Teeth

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Forensic Medicine and Anatomy Research 2022年第3期10卷 51-63页

作者： Mário Marques Fernandes Luiz Eugênio Nigro Mazzilli José Cícero Dinato Rosane Pérez Baldasso Rogério Nogueira de Oliveira Department of Community Dentistry School of Dentistry University of S&#227 o Paulo (FOUSP) S&#227 o Paulo Brasil Brazilian Dental Association Section of Rio Grande do Sul (ABORS) Porto Alegre Brasil

Objective: To analyze and compare the effectiveness of two methods designed for the assessment of esthetic impairment in patients with missing teeth. Material and Methods: Two methods were addressed in this study: 7-level scale (7LS) and AIPE-Odonto/Brasil. Both tools are designed to assess esthetic dental impairment in civil and criminal Courts. One-hundred and thirteen dentists used the tools to assess dental esthetic impairment in four mock cases (one male and three females). The outcomes of their analyses were compared with pre-established gold-standard scores. Chi-square test was used to investigate the influence of dentists’ sex, age, time of experience and forensic knowledge with their outcomes. Results: Dentists’ outcomes were closer to the expected gold-standard scores when AIPE-Odonto/Brasil was used compared to 7LS (p < 0.05). Dentists’ sex, time of experience and forensic knowledge were significantly associated with the scores obtained with both tools (p < 0.05). Conclusions: Comparatively, AIPE-Odonto/Brasil was more effective for the assessment of esthetic dental impairment involving missing teeth compared to the 7LS.

关键词： Dental Esthetics Wounds and injuries Trauma Forensic Dentistry facial injuries

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Treatment of severe frontobasilar fractures in growing patients： a case series evaluation

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Chinese Journal of Traumatology 2013年第4期16卷 199-203页

作者： Alan S Herford Rahul Tandon Luca Pivetti Marco Cicci Department of Oral & Maxillofacial Surgery Loma LindaUniversity Loma Linda California 92350 United States Boyne Geistlich Research Fellow Loma LindaUniversity Loma Linda California 92350 United States Department of Implant Dentistry Ospedale MaggiorePoliclinico University of Milan Milan Italy Department of Human Pathology School of DentistryUniversity of Messina Messina Italy

Objective： The treatment of fronto- basilar fractures is a demanding aspect of craniofacial frac- ture management. A sequel of inadequate or improper frac- ture management presents cosmetic and functional prob- lems which are very difficult to correct. The aim of this manu- script was to examine a group of growing patients treated for frontobasilar fractures and provide clinicians a possible therapeutic option for the treatment of these challenging fractures. Methods： In this investigation, 12 patients under the age of 16 years treated for severe injuries to the frontobasilar region were included. Their records were reviewed to evalu- ate the clinical diagnosis, preoperative findings, hospital course, postoperative results, and long-term follow-up. Preoperative and postoperative CT scans were performed in all children treated. Postoperative complications were re- viewed in detail. Surgical procedures were evaluated for type and location of fixation. All complications and treat- ments were recorded. Results： Three of the patients presented with a cere-brospinal fluid （CSF） leak and required pericrartial flaps. Only 3 patients underwent removal of plates and screws due to palpability in 1 patient, loose hardware in 1 patient, and limited disturbance on growth in the rest patient. Seven patients underwent open reduction and internal fixation with resorbable plates, 4 patients with titanium plates, and 1 pa- tient with a combination. Follow-up ranged from 6 months to 5 years. No patients with a preoperative CSF leak deve- loped any recurrence of the leak. Conelusion： According to basic craniofacial principles, reducing and stabilizing the fractures should reconstruct the anterior cranial base. However, the treatment ofpaediatric maxillofacial trauma requires the evaluation of several factors. The facial skeleton of a child is constantly evolving and its growth depends on the balance of basal bone and soft tissues.

关键词： Fractures, bone facial injuries Eth- mold bone Nasal bone Zygoma

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