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Temporal bone pathology in drowning

R W Babin, N N Graves, E F Rose

American Journal of Otolaryngology

|May 1, 1982

Summary

This summary is machine-generated.

Tympanomastoid hemorrhage, characterized by edema and bleeding in the middle ear, is a potential indicator of drowning. This finding can aid in forensic investigations when other causes are ruled out.

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Area of Science:

Forensic Pathology
Otolaryngology

Background:

Histopathological examination of temporal bones is crucial in forensic investigations.
Drowning is a significant cause of accidental death worldwide.

Observation:

A 2-year-old drowning victim's temporal bones showed submucosal edema, vascular congestion, ecchymosis, and tympanomastoid hemorrhage.
Review of 258 temporal bones revealed 11 cases with tympanomastoid hemorrhage.

Findings:

After excluding cases of skull fractures, cerebrovascular accidents, and leukemia, only the drowning victim exhibited tympanomastoid hemorrhage.
Tympanomastoid hemorrhage, without otitis media, head trauma, or bleeding disorders, strongly suggests drowning.

Implications:

Tympanomastoid hemorrhage can serve as a key forensic marker for drowning.

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This finding enhances the diagnostic criteria for death by drowning in forensic pathology.