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Otologic Injuries Secondary to Explosive Attack.

E Demiray1, H C Aydogan2, M Cavlak1

  • 1School of Medicine, Department of Forensic Medicine, Faculty of Medicine, Hacettepe University, Sıhhiye, Ankara, 06100 Turkey.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|August 29, 2022
PubMed
Summary
This summary is machine-generated.

Routine otologic evaluation is crucial after terrorist explosions. Many patients with blast-related hearing loss and tympanic membrane rupture were missed during initial assessments, highlighting a gap in immediate medical care.

Keywords:
BombExplosionLoss of hearingTerrorismTinnitus

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Area of Science:

  • Forensic Medicine
  • Otolaryngology
  • Trauma Surgery

Background:

  • Explosion injuries, particularly otologic injuries, are a growing global concern due to increasing terrorist attacks.
  • Suicide bombings have become a significant cause of blast-related trauma in various regions.
  • Otologic complaints are common sequelae of explosion events, necessitating specialized evaluation.

Purpose of the Study:

  • To evaluate the frequency and types of otologic injuries resulting from terrorist bombing attacks.
  • To assess the adequacy of initial medical evaluations for otologic injuries in blast survivors.
  • To emphasize the importance of routine otologic assessment in the immediate aftermath of explosions for forensic and clinical purposes.

Main Methods:

  • Retrospective analysis of 33 cases from 6 suicide bombing incidents in Turkey.
  • Review of medical records to identify otologic injuries and initial examination practices.
  • Data collection focused on tympanic membrane status, hearing loss, and tinnitus.

Main Results:

  • 8 cases (24%) experienced hearing loss, and 9 cases (27%) sustained tympanic membrane rupture.
  • 22 out of 33 patients (67%) did not receive an Ear, Nose, and Throat (ENT) examination during their initial hospital visit.
  • Two-thirds of patients were not evaluated for otologic injuries upon first presentation, potentially delaying diagnosis and treatment.

Conclusions:

  • A significant proportion of patients exposed to explosions suffer from otologic injuries like hearing loss and tympanic membrane rupture.
  • Initial medical assessments frequently overlook otologic evaluations, even when symptoms are present.
  • Routine otologic screening in the immediate post-blast phase is essential for accurate diagnosis, treatment, and forensic documentation.