Faculty of Medicine in Hradec Králové, Institute of Legal Medicine, Charles University in Prague, Šimkova 870, 500 01 Hradec Králové, Czech Republic.
Int J Legal Med. 2011 Jul;125(4):587-90. doi: 10.1007/s00414-011-0553-x. Epub 2011 Jan 28.
Crushing head injuries usually do not allow direct visual identification of individuals, and above all, it constitutes an obstacle to comprehensive evaluation of discrete traumatic changes of the skin and soft tissues. We present our experience with the plastic adaptation of devastating head injuries in the two exemplary cases. The principal of the reconstruction is manual repositioning of bone fragments of the cranial and facial parts of the skull and careful approximation of the wound edges and their gradual suture using suture material. The reconstruction method can be recommended as an auxiliary technique in the identification of unknown victims with crushing head injuries and in the evaluation of devastating gunshot wound of the head.
粉碎性头部损伤通常不允许直接进行目视识别，尤其是会对皮肤和软组织离散性创伤变化的全面评估构成障碍。我们在两个典型案例中介绍了我们在毁灭性头部损伤的整形适应方面的经验。重建的原则是手动重新定位颅骨和面部颅骨的骨碎片，并仔细接近伤口边缘，并使用缝线材料逐渐缝合。这种重建方法可以作为识别遭受粉碎性头部损伤的未知受害者和评估毁灭性头部枪伤的辅助技术进行推荐。
