Traumatic complete outer ear amputation by human bite, a forensic case report and review of the literature. (April 2020)

• Record Type: Journal Article
• Authors: Sakelliadis, Emmanouil I.; Katsos, Konstantinos D.; Dimitriou, Konstantinos; Gakis, Christos E.; Vlachodimitropoulos, Dimitrios G.; Spiliopoulou, Chara A.
• Is Part Of: Journal of forensic and legal medicine. Volume 71(2020)
• Publication Date: 2020-04
• Subjects: Clinical forensic medicine -- Human bite -- Complete external ear amputation -- Interpersonal violence; Medical jurisprudence -- Periodicals; Forensic sciences -- Periodicals; Forensic Medicine -- Periodicals; Médecine légale -- Périodiques; Electronic journals; 614.1
• DOI: 10.1016/j.jflm.2020.101936
• Languages: English
• ISSNs: 1752-928X

Abstract

Abstract: We present a case of a complete external ear amputation, caused by a human bite, that took place during a quarrel in a local farmers' market. The male victim was transferred to the Hospital. After surgical reattachment of the auricle, a forensic clinical examination was performed, as per legal obligation. During examination, the victim was found to have sustained: contusions of the orbital regions (lower eyelids), bilaterally, soft tissue oedema of the forehead (to the left of the middle line), and contusion of the right neck area. He also sustained multiple soft tissue injuries (contusions, abrasions) on the torso and on both upper and lower extremities. Clinical forensic examination of human bite injuries requires thorough description of the wound, proper photography and possibly collection of swabs for DNA identification (in case of unknown perpetrator). Nevertheless, the Forensic Pathologist is often required to perform clinical examination, only after medical care has been provided. Therefore, clinicians should be aware of the need of proper documentation and act accordingly. Highlights: We present a complete external ear amputation, caused by a human bite. Wounds by human bites may be observed in many interpersonal violence incidents. Photographic documentation of the bite wounds is essential. Forensic dental examination can prove to be an asset. Clinicians should be aware of the need for proper documentation of each incident.