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Otolaryngologic manifestations of child abuse
S C Manning1, M Casselbrant, D Lammers
1Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas 75235-9035.
Insights
Child abuse cases are rising, with diverse presentations like ear hematomas and throat injuries. Early recognition by specialists is crucial for intervention.
Area of Science:
- Otolaryngology
- Pediatrics
- Child Abuse Research
Background:
- Child abuse, encompassing neglect, sexual abuse, physical assault, and psychological trauma, is a growing concern.
- The Otolaryngology (ENT) service encounters unique and sometimes subtle manifestations of child maltreatment.
- Identifying characteristic presentations and family risk factors is vital for timely intervention.
Abstract:
The number of reported cases of child abuse has increased dramatically over the past several years. Maltreatment of children can take several forms including neglect, sexual abuse, physical assault and psychological trauma. Five cases of child abuse presenting initially to the Otolaryngology Service are outlined: bilateral auricular hematomas, recurrent tympanic membrane lacerations, a pharyngeal laceration with retropharyngeal abscess and medical neglect of a patient with a parotid malignancy and one with laryngeal papillomatosis. Characteristic presentations and risk factors in family background are discussed toward the goal of early recognition and appropriate intervention.