Maxillofacial injury in gender violence: Descriptive study of cases from Valparaíso, Chile

Denisse Lagos Tissie , Marcos Faúndes Pinto , Jesús Silva Melo , Alejandra Montoya Barrena , Camila Contreras Vicencio
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Abstract

Violence against women is one of the most widespread violations of human rights globally. In these cases, it is common to find injuries in the maxillofacial area, which can leave various types of sequelae.

Objective

To characterize maxillofacial injuries from the examinations carried out under the Gender Protocol at the Valparaíso Legal Medical Service, Chile.

Methodology

A qualitative retrospective study was conducted using data collected from maxillofacial injury reports conducted between 2020 and 2023.

Results

A total of 51 examinations were analyzed: the age of the victims ranged from 21–73 years, with the majority being homemakers and unmarried. In most cases, the aggressions were perpetrated by the women's current partners at their shared residence. In nearly a third of the cases, the aggression occurred in the presence of minors. The most commonly used injurious mechanisms were blunt and asphyxiation. There were injuries to soft tissues and hard tissues. The medicolegal prognosis in the majority of cases was less severe.

Discussion

The evaluation of maxillofacial injuries by a dentist is fundamental, especially to assess intraoral injuries. Dentists should be familiar with forensic dentistry in these contexts, in order to accurately document injuries and contribute to the administration of justice. Professionals who tend to these victims should do so in an environment that provides support and comfort to the female victims, as the verification of injuries is often their first interaction with institutional authorities and can be decisive in their decision to proceed with legal action.
性别暴力中的颌面损伤:来自Valparaíso,智利病例的描述性研究
对妇女的暴力行为是全球最普遍的侵犯人权行为之一。在这些情况下,通常会在颌面区域发现损伤,这可能会留下各种类型的后遗症。目的在智利Valparaíso法律医疗服务处根据《性别议定书》进行的检查中确定颌面部损伤的特征。方法采用定性回顾性研究,收集2020 - 2023年颌面部损伤报告数据。结果共分析51份检查报告,年龄21 ~ 73 岁,以家庭主妇、未婚居多。在大多数情况下,侵犯行为是由妇女目前的伴侣在她们共同居住的地方实施的。在近三分之一的案件中,侵犯行为发生在未成年人在场的情况下。最常用的伤害机制是钝器和窒息。软组织和硬组织均有损伤。大多数病例的医学预后较轻。牙医对颌面部损伤的评估是至关重要的,尤其是对口腔内损伤的评估。在这些情况下,牙医应该熟悉法医牙科,以便准确地记录伤害并有助于司法行政。照顾这些受害者的专业人员应该在一个为女性受害者提供支持和安慰的环境中这样做,因为对伤害的核实往往是他们与机构当局的第一次互动,对他们是否采取法律行动的决定可能是决定性的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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