Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Yüz Bölgesi Yaralanmalarında Yüzde Sabit İz ve Basit Tıbbi Müdahale Kavramlarının Değerlendirilmesi: Retrospektif Çalışma
Evaluation of Permanent Scar on the Face and Simple Medical Intervention Concepts in Facial Region Injuries: Retrospective Study
Emine Nur YILMAZa , Mehmet Sunay YAVUZb
aMuş Adli Tıp Şube Müdürlüğü, Muş, Türkiye
bManisa Celal Bayar Üniversitesi Tıp Fakültesi, Adli Tıp AD, Manisa, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2025;22(1):28-37
doi: 10.5336/forensic.2024-105089
Article Language: TR
Full Text
ÖZET
 Amaç: Travma sonrası adli tıbbi değerlendirmelerde; yüz bölgesindeki yaralanmaların basit tıbbi müdahale ve yüzde sabit iz açısından değerlendirilmesi konusunda farklı uygulamalar mevcuttur. Bu çalışmada, Manisa Celal Bayar Üniversitesi Tıp Fakültesi Adli Tıp Ana Bilim Dalında, muayenelerinde yüz bölgesinde yaralanma saptanan olgular hakkında düzenlenen adli rapor verileri incelenerek, yüzde sabit iz ve basit tıbbi müdahale değerlendirmelerinde uygulamada yaşanan farklılıklara dikkat çekilmesi amaçlanmıştır. Gereç ve Yöntemler: 1 Ocak 2012-31 Aralık 2021 tarihleri arasında Manisa Celal Bayar Üniversitesi Tıp Fakültesi Adli Tıp Ana Bilim Dalında muayene edilerek yüzde sabit iz açısından sonuç verilen 226 olgu geriye dönük olarak, demografik veriler, olay türü, lezyon sayısı, lokalizasyonu, uzunluğu, yaralanmanın basit bir tıbbi müdahale ile giderilebilecek ölçüde hafif olup olmadığı ve yüzde sabit iz niteliğinde olup olmadığı açısından değerlendirilmiştir. Bulgular: Olguların %63,7'sini kapsayan ve yaralanmanın basit bir tıbbi müdahale ile giderilebilecek ölçüde hafif olmadığı kararı verilen olguların %40,3'ünde yaralanmanın yüzde sabit iz niteliğinde olduğu, olguların %36,3'ünü kapsayan ve yaralanmanın basit bir tıbbi müdahale ile giderilebilecek ölçüde hafif olduğu kararı verilen olguların %8,5'inde yaralanmanın yüzde sabit iz niteliğinde olduğu tespit edilmiştir. Tüm olguların %3,1'inde yaralanmanın basit bir tıbbi müdahale ile giderilebilecek ölçüde hafif ve yüzde sabit iz niteliğinde olduğu kararı verildiği saptanmıştır. Sonuç: Adli tıp uygulamalarında farklı görüşlerin ortaya çıkmasına yol açan ve yaralanmanın hem yüzde sabit iz niteliğinde hem de basit bir tıbbi müdahale ile giderilebilecek ölçüde hafif olduğu kararına varılan olgular, %0,98 ile %9,3 arasında değişen bir oranı kapsamaktadır. Yüz bölgesinde yaralanması olan ve yüzde sabit iz değerlendirmesinin 6 ay sonra yapılması gereken tüm olgular için ''basit tıbbi müdahale kararı açısından yüzde sabit iz değerlendirmesinin sonucunun beklenmesi'' hukuki süreçte gecikmelere yol açacaktır.

Anahtar Kelimeler: Adli tıp; yüzde sabit iz; basit tıbbi müdahale
ABSTRACT
 Objective: In medicolegal evaluations performed after trauma, there are different practices regarding the evaluation of facial injuries in terms of simple medical intervention and permanent scar on the face. The aim of this study was to draw attention to the differences in practice in the evaluation of permanent scar on the face and simple medical intervention by examining the forensic report data of the cases who applied to Manisa Celal Bayar University Faculty of Medicine, Department of Forensic Medicine and were found to have facial injuries. Material and Methods: 226 cases who were examined in Manisa Celal Bayar University Faculty of Medicine, Department of Forensic Medicine between January 1, 2012 and December 31, 2021, given a result in terms of permanent scar on the face were retrospectively evaluated in terms of demographic data, types of events, number, localization and lenght of lesions, whether the injury was mild enough to be resolved with a simple medical intervention and whether there was a permanent scar on the face. Results: In 40.3% of the cases whose injuries were not mild enough to be treated with a simple medical intervention (63.7%), it was determined that the injury was permanent scar on the face. In 8.5% of the cases whose injuries were mild enough to be treated with a simple medical intervention (36.3%), it was determined that the injury was permanent scar on the face. In 3.1% of all cases, it was determined that the injury was mild enough to be treated with a simple medical intervention and had a permanent scar on the face. Conclusion: The rate of cases whose injuries are both permanent scar on the face and mild enough to be treated with a simple medical intervention, which leads to different opinions in forensic medicine practices, varies between 0.98% and 9.3%. ''Waiting for the result of permanent scar on the face evaluation for the decision of simple medical intervention'' for all cases with facial injuries that need to be evaluated after six months will lead to delays in the legal process.

Keywords: Forensic medicine; permanent scar on the face; simple medical intervention
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