Sakelliadis Emmanouil I, Katsos Konstantinos D, Dimitriou Konstantinos, Gakis Christos E, Vlachodimitropoulos Dimitrios G, Spiliopoulou Chara A
Department of Forensic Medicine and Toxicology, Medical School, National and Kapodistrian University of Athens, Greece.
Department of Forensic Medicine and Toxicology, Medical School, National and Kapodistrian University of Athens, Greece.
J Forensic Leg Med. 2020 Apr;71:101936. doi: 10.1016/j.jflm.2020.101936. Epub 2020 Mar 8.
We present a case of a complete external ear amputation, caused by a human bite, that took place during a quarrel in a local farmers' market. The male victim was transferred to the Hospital. After surgical reattachment of the auricle, a forensic clinical examination was performed, as per legal obligation. During examination, the victim was found to have sustained: contusions of the orbital regions (lower eyelids), bilaterally, soft tissue oedema of the forehead (to the left of the middle line), and contusion of the right neck area. He also sustained multiple soft tissue injuries (contusions, abrasions) on the torso and on both upper and lower extremities. Clinical forensic examination of human bite injuries requires thorough description of the wound, proper photography and possibly collection of swabs for DNA identification (in case of unknown perpetrator). Nevertheless, the Forensic Pathologist is often required to perform clinical examination, only after medical care has been provided. Therefore, clinicians should be aware of the need of proper documentation and act accordingly.
我们报告一例因他人咬伤导致外耳完全离断的病例，该事件发生在当地农贸市场的一场争吵中。男性受害者被送往医院。在对耳廓进行手术再植后，根据法律义务进行了法医临床检查。检查过程中，发现受害者有以下损伤：双侧眼眶区域（下眼睑）挫伤、前额（中线左侧）软组织水肿以及右颈部挫伤。他的躯干和上下肢也有多处软组织损伤（挫伤、擦伤）。对人类咬伤伤口进行临床法医检查需要对伤口进行全面描述、妥善拍照，并可能采集拭子进行DNA鉴定（如果犯罪者身份不明）。然而，法医病理学家通常仅在提供医疗护理后才被要求进行临床检查。因此，临床医生应意识到妥善记录的必要性并相应采取行动。
