INTERNATIONAL CONFERENCE PEDAGOGICAL REFORMS AND
THEIR SOLUTIONS
VOLUME 11, ISSUE 01, 2025
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CLINICAL AND PRACTICAL SIGNIFICANCE OF THE OBTAINED DATA IN THE
FORENSIC ASSESSMENT OF ENT INJURIES
Abdumalikov I.M.
Abstract:
The research results have practical significance for forensic medicine and
otorhinolaryngology. The implementation of the developed algorithms has improved the
objectivity of expert assessments of ENT injuries. The use of precise methods such as
rhinomanometry and photodocumentation ensures reliable recording of injuries and
substantiated classification of harm. A correlation was established between morphological
damage and functional impairment, enabling more accurate evaluation of injury severity,
prognosis of recovery, and selection of appropriate treatment strategies.
Keywords:
practical significance; clinical relevance; standardization; forensic medical
examination; rehabilitation.
Introduction.
ENT organs (ear, nose, throat) are particularly susceptible to injury due to their
anatomical structure and functional significance. Damage to these structures often results in
impaired breathing, hearing, or voice—functions vital to human physiology. Traditional
forensic assessments have mainly focused on anatomical injuries (e.g., fractures, lacerations),
often overlooking the severity of functional outcomes, especially when visible defects are
absent. However, recent studies underscore that the degree of functional impairment may more
accurately reflect the actual harm caused to the individual [1, 2].
Purpose.
To evaluate the clinical and practical utility of integrating objective diagnostic tools
into the forensic assessment of ENT injuries.
Materials and Methods.
A total of 531 clinical and forensic cases involving ENT trauma were
analyzed. The methodology included anterior active rhinomanometry to assess nasal airflow
resistance, tonal and speech audiometry for hearing evaluation, video stroboscopy for vocal
cord assessment, and CT/MRI imaging. The functional findings were then correlated with
injury severity and forensic conclusions regarding harm to health.
Key Findings.
It was demonstrated that persistent nasal obstruction (resistance over 0.3
Pa/cm³/s on rhinomanometry), hearing loss exceeding 30 dB, or complete voice loss confirmed
by laryngoscopy are associated with moderate to severe damage to health, even in the absence
of gross structural damage. The use of objective diagnostics improved the accuracy of forensic
damage classification by up to 25% and facilitated better prognostic stratification in clinical
rehabilitation. Moreover, a strong correlation was found between the duration of functional
impairment and the classification of health damage severity [3, 4].
Conclusion.
The incorporation of instrumental diagnostics into the forensic evaluation of ENT
injuries significantly enhances the objectivity and legal soundness of expert conclusions. These
tools provide quantifiable, reproducible metrics that align with both clinical observations and
legal frameworks. Their systematic use not only reduces inter-expert variability but also
improves patient care outcomes and judicial accuracy in cases involving trauma to ENT
structures.
References:
1.
Alexeev V.A., Gromov S.P. Diagnosis and assessment of ENT organ injuries. — St.
Petersburg: ELBI, 2020. — 224 p.
2.
Abdullahyev Sh.Kh. Forensic evaluation of olfactory and hearing disorders. // Bulletin
of Forensic Medicine. — 2019. — No. 4. — P. 45–52.
INTERNATIONAL CONFERENCE PEDAGOGICAL REFORMS AND
THEIR SOLUTIONS
VOLUME 11, ISSUE 01, 2025
84
3.
Saliyev A.B., Karimov D.Sh. Instrumental diagnostics in ENT practice. — Tashkent:
Meditsina, 2021. — 198 p.
4.
Alimova M.U. Functional consequences of nasal trauma. // Journal of Clinical and
Experimental Medicine. — 2022. — No. 2. — P. 33–38.
5.
Order of the Ministry of Health of the Republic of Uzbekistan No. 252 of 15.10.2018.
“On the introduction of standards for the diagnosis and treatment of ENT diseases”.
