Demiray E, Aydogan H C, Cavlak M, Akcan R, Balseven-Odabasi A, Tumer A R
School of Medicine, Department of Forensic Medicine, Faculty of Medicine, Hacettepe University, Sıhhiye, Ankara, 06100 Turkey.
School of Medicine, Department of Forensic Medicine, Gülhane Traning and Research Hospital, Etlik, Ankara, 06010 Turkey.
Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):569-574. doi: 10.1007/s12070-021-02384-4. Epub 2021 Jan 27.
The frequency of injuries secondary to terrorist attack explosion is globally increasing. Like any other country, our country experienced multiple suicide bombings in recent years. Otologic injuries may be observed after these kinds of attacks. Considering otologic complaints are well known medical results of explosion attacks, routine otologic evaluation in the first examining hospital-even in case of no relevant complaint- is crucial for establishing causal relation in following forensic medicine evaluation. In this study, 33 cases from 6 suicide bomber attacks in 4 different incidents that happened in Turkey were evaluated for otologic injuries. Two out of three patients were not evaluated for otologic injuries in their first hospital visit. It was considered that 8 cases had a loss of hearing and 9 cases had tympanic membrane rupture secondary to the explosion. Complaints such as hearing loss and tinnitus very often after a bomb attack, we saw that 22 of 33 included patients did not have an ear nose, and throat examination at the time of the incident. In this kind of attack, there can be various life-threatening injuries and therefore relatively less important evaluations such as ENT examination can often be overlooked.
恐怖袭击爆炸导致的受伤频率在全球范围内不断上升。和其他国家一样,我国近年来也经历了多次自杀式爆炸袭击。在这类袭击之后可能会观察到耳科损伤。鉴于耳科症状是爆炸袭击众所周知的医学后果,在初次接诊医院进行常规耳科评估——即使没有相关症状——对于在后续法医学评估中确立因果关系至关重要。在本研究中,对土耳其发生的4起不同事件中6起自杀式炸弹袭击的33例患者进行了耳科损伤评估。三分之二的患者在初次就诊时未接受耳科损伤评估。据认为,8例患者因爆炸导致听力丧失,9例患者鼓膜破裂。炸弹袭击后经常出现听力损失和耳鸣等症状,我们发现33例患者中有22例在事件发生时未进行耳鼻喉检查。在这类袭击中,可能会有各种危及生命的损伤,因此诸如耳鼻喉检查等相对不太重要的评估常常被忽视。