{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T05:18:58Z","timestamp":1740806338795,"version":"3.38.0"},"reference-count":15,"publisher":"Media Sphere Publishing House","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foren. Med. Expert."],"published-print":{"date-parts":[[2025,2,28]]},"abstract":"<jats:p>Objective. To determine the shortfalls of medical documents for victims with facial injuries and concussions and the related challenges during forensic medical expert assessment of the injury. Material and methods. The medical records of the victims and the reports of forensic examination of living persons were examined. Results and Conclusion. Facial injuries with concussion account for about 20% of all examinations of living persons. The morphological essence of the described lesions differs significantly among forensic medical experts and clinical doctors. Clinicians provide an excessive or insufficiently validated diagnosis of concussion, which is not confirmed during forensic medical examination in nearly 40% of cases. Forensic medical experts could determine the nature of trauma based on the study of medical documents only in 68% of cases. The efficacy of in-person expert examinations of victims is low. Some ambiguous provisions of regulations and medical criteria for determining the severity of harm caused to human health allow for arbitrary interpretation.<\/jats:p>","DOI":"10.17116\/sudmed20256801154","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T06:57:55Z","timestamp":1740725875000},"page":"54","source":"Crossref","is-referenced-by-count":0,"title":["On the challenges and shortfalls of expert assessment of maxillofacial injuries with concussions according to medical documents only"],"prefix":"10.17116","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9616-7877","authenticated-orcid":false,"given":"M.O.","family":"Yagmurov","sequence":"first","affiliation":[{"name":"Dolgoletiye LLC","place":["St. Petersburg, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5893-520X","authenticated-orcid":false,"given":"I.A.","family":"Tolmachev","sequence":"additional","affiliation":[{"name":"S.M. Kirov Military Medical Academy","place":["St. Petersburg, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7841-0913","authenticated-orcid":false,"given":"A.P.","family":"Bozhchenko","sequence":"additional","affiliation":[{"name":"S.M. Kirov Military Medical Academy","place":["St. Petersburg, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5282-7219","authenticated-orcid":false,"given":"Yu.A.","family":"Khrustaleva","sequence":"additional","affiliation":[{"name":"S.M. Kirov Military Medical Academy","place":["St. Petersburg, Russia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6743","reference":[{"key":"key-10.17116\/sudmed20256801154-1","doi-asserted-by":"crossref","unstructured":"Owens LS. Craniofacial trauma in the Prehispanic Canary Islands. International Journal of Osteoarchaeology. 2017;17:465-478","DOI":"10.1002\/oa.898"},{"key":"key-10.17116\/sudmed20256801154-2","doi-asserted-by":"crossref","unstructured":"Veeravagu A, Joseph R, Jiang B, Lober RM, Ludwig C, Torres R, Singh H. Traumatic epistaxis: Skull base defects, intracranial complications and neurosurgical considerations. Int J Surg Case Rep. 2013;4(8):656-661","DOI":"10.1016\/j.ijscr.2013.04.033"},{"key":"key-10.17116\/sudmed20256801154-3","doi-asserted-by":"publisher","DOI":"10.17116\/sudmed201659210-13"},{"key":"key-10.17116\/sudmed20256801154-4","unstructured":"Vlasov AM. Diagnostika i lechenie sochetannoi cherepno-mozgovoi i chelyustno-litsevoi travmy: avtoreferat dis.... kand. med. nauk: 14.00.21, 14.00.28. Om. gos. med. akad. Omsk; 2003. (In Russ.)"},{"key":"key-10.17116\/sudmed20256801154-5","doi-asserted-by":"publisher","DOI":"10.17116\/sudmed201861245-47"},{"key":"key-10.17116\/sudmed20256801154-6","doi-asserted-by":"publisher","DOI":"10.19048\/2411-8729-2016-2-3-13-16"},{"key":"key-10.17116\/sudmed20256801154-7","unstructured":"Popov VL, Egorova OA. Peculiarities of the assessment of harm to human health from maxillofacial and neck injuries accompanied by the infectious process. Forensic Medical Expertise. 2013;56(3):53-54. (In Russ.)"},{"key":"key-10.17116\/sudmed20256801154-8","unstructured":"Krokhmal\u2019 SV. Kliniko-neirofiziologicheskie osobennosti techeniya cherepno-litsevoi travmy s razlichnoi lokalizatsiei: diss\u2026 kand. med. nauk. Saratov; 2021. (In Russ.)"},{"key":"key-10.17116\/sudmed20256801154-9","unstructured":"Avdeev AI, Zhukova NYu. Sudebno-meditsinskaya otsenka povrezhdenii litsa bez priznakov cherepno-mozgovoi travmy. Izbrannye voprosy sudebno-meditsinskoi ekspertizy (sbornik rabot). Khabarovsk; 2019. (In Russ.)"},{"key":"key-10.17116\/sudmed20256801154-10","unstructured":"Lyalina EA. Kompleksnaya otsenka defektov vedeniya meditsinskoi dokumentatsii na kachestvo sudebno-meditsin-skikh ekspertiz: diss. \u2026kand. med. nauk. Novosibirsk; 2010. (In Russ.)"},{"key":"key-10.17116\/sudmed20256801154-11","unstructured":"Pugacheva AP. Sudebno-meditsinskaya otsenka povrezhdenii pri osvidetel\u2019stvovanii zhivykh lits zhenskogo pola. Kurskii nauchno-prakticheskii vestnik \u00abChelovek i ego zdorov\u2019e\u00bb. 2014;3:73-77. (In Russ.)"},{"key":"key-10.17116\/sudmed20256801154-12","doi-asserted-by":"publisher","DOI":"10.19048\/2411-8729-2019-5-4-4-8"},{"key":"key-10.17116\/sudmed20256801154-13","unstructured":"Belykh AN, Bozhchenko AP, Tolmachev IA. Osobennosti semiotiki i metodologii meditsinskoi diagnostiki i svyazannye s nimi prichiny gnoseologicheskikh oshibok. Meditsinskaya ekspertiza i pravo. 2016;6:14-19. (In Russ.)"},{"key":"key-10.17116\/sudmed20256801154-14","unstructured":"Pigolkin YuI, Leonov SV, Dubrovin IA, Gornostaev DV. Traumatic brain injury. Mechanogenesis, morphology and forensic medical assessment: a practical guide. Under the general editorship of Yu.I. Pigolkin. Moskva: Yurayt Publishing House; 2024. (In Russ.)"},{"key":"key-10.17116\/sudmed20256801154-15","unstructured":"Bozhchenko AP. K voprosu o pravilakh meditsinskikh kriteriyakh opredeleniya tyazhesti vreda, prichinennogo zdorov\u2019yu cheloveka (soobshchenie I). Meditsinskoe pravo. 2022;2:32-38. (In Russ.)"}],"container-title":["Forensic Medical Expertise"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T06:58:39Z","timestamp":1740725919000},"score":1,"resource":{"primary":{"URL":"https:\/\/mediasphera.ru\/issues\/sudebno-meditsinskaya-ekspertiza\/2025\/1\/1003945212025011054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,28]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2,28]]}},"alternative-id":["10.17116\/sudmed20256801154"],"URL":"https:\/\/doi.org\/10.17116\/sudmed20256801154","relation":{},"ISSN":["0039-4521"],"issn-type":[{"value":"0039-4521","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,28]]}}}