Article Sidebar

Download
PDF (Français (Canada))
Statistic
Read Counter : 3 Download : 1

Downloads

Download data is not yet available.

Main Article Content

Abstract

RÉSUMÉ
Objectif. Décrire le profil épidémiologique et médico-légal des victimes de violences interpersonnelles avec traumatismes nasaux pris en charge à l’unité de médecine légale de l’Hôpital National Donka. Méthodologie. Une étude rétrospective descriptive a été menée du 1ᵉʳ janvier 2022 au 31 décembre 2023. Les paramètres analysés incluaient l’âge, le sexe, la profession des victimes, les circonstances et motifs des agressions, les types de lésions nasales, et l’incapacité totale de travail. Résultats. Sur 176 cas inclus, l’âge moyen des victimes était de 28,32 ±11,20 ans (extrêmes : 3–67 ans), avec une prédominance de la tranche 21–30 ans (42,05 %). Les hommes représentaient 59,09 % des victimes. Les élèves et commerçants étaient les plus touchés (25,57 % chacun). Les agresseurs étaient majoritairement des commerçants (18,75 %). Les agressions survenaient principalement dans la rue (25,57 %). Les lésions osseuses nasales concernaient 39,77 % des cas, dont 68,57 % de fractures simples sans déplacement. Aucun cas d’incapacité totale de travail n’a été enregistré. Conclusion. Les traumatismes nasaux, fréquents dans les violences interpersonnelles, sont majoritairement des fractures non déplacées, faciles à traiter. Une prise en charge précoce est essentielle pour prévenir les complications et séquelles fonctionnelles ou esthétiques. Ces résultats soulignent l’importance d’un système de surveillance des violences et de renforcement des infrastructures médico-légales en Guinée.


ABSTRACT
Purpose. To describe the epidemiological and medico-legal characteristics of nasal trauma victims following interpersonal violence treated at the forensic unit of Donka National Hospital. Methods. A descriptive retrospective study was conducted from January 1, 2022, to December 31, 2023. Analyzed parameters included age, gender, occupation of victims, circumstances and motives of assaults, types of nasal injuries, and total work incapacity. Results. Among 176 cases, the mean age of victims was 28.32 ±11.20 years (range: 3–67), with the 21–30 age group predominating (42.05%). Males accounted for 59.09% of victims. Students and merchants were the most affected (25.57% each). Perpetrators were primarily merchants (18.75%). Assaults occurred mostly in public spaces (25.57%). Nasal bone injuries were observed in 39.77% of cases, with 68.57% being simple non-displaced fractures. No cases of total work incapacity were reported. Conclusion. Nasal trauma from interpersonal violence predominantly involves non-displaced fractures, which are manageable with early intervention. Prompt care is critical to preventing functional or aesthetic complications. These findings highlight the need for enhanced violence surveillance systems and forensic medical infrastructure in Guinea.

Keywords

interpersonal violence nasal trauma Donka violence interpersonnelle traumatisme nez Donka

Article Details

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to Cite
Diallo Thiermo Mamadou Chérif, Diaby Macka, Conté N’Fanly, Touré Thierno Mamadou Aliou, Touré Amadou Oury, Camara Aly Badara, & Diallo Sory. (2025). Profil Épidémiologique et Médico-Légal des Traumatismes Nasaux Liés à la Violence Interpersonnelle à l’Hôpital National Donka (Guinée): Profil Épidémiologique et Médico-Légal des Traumatismes Nasaux Liés à la Violence Interpersonnelle à l’Hôpital National Donka (Guinée). HEALTH SCIENCES AND DISEASE, 26(6). https://doi.org/10.5281/hsd.v26i6.6698
Download Citation
Endnote/Zotero/Mendeley (RIS)
BibTeX

References

  1. . World Health Organization (Regional Office for Europe). Alcohol and Interpersonal Violence Policy Briefing [Internet]. 2005 [cited 2025 Feb 20]. p. 1–12. Available from: https://iris.who.int/bitstream/handle/10665/107351/E87347.pdf?sequence=1
  2. 2. Organisation mondiale de la Santé (OMS). Prévention de la violence: les faits [Internet]. 2014 [cited 2025 Feb 21]. p. 1–138. Available from: https://iris.who.int/bitstream/handle/10665/92490/9789242500844_fre.pdf
  3. 3. I. Velomalala, F. Raherinantenaina, G.D. Solofomalala. Etiologies et impacts médico-légaux des agressions volontaires au CHU de Fianarantsoa - Médecine d’Afrique francophone. 2013 Dec [cited 2025 Feb 21]; 6012:532–6. Available from: https://www.santetropicale.com/manelec/fr/resume_oa.asp?id_article=2504
  4. 4. Cortez Montovani J, Maria Pirani de Campos L, Ayabe Gomes M, Rodrigues Silva de Moraes V, Dominici Ferreira F, Araujo Nogueira E. Etiology and incidence facial fractures in children and adults Summary. Braz J Otorhinolaryngol. 2006;72(2):235–76.
  5. 5. Wladis AM, Boström LMP;, Nilsson B. Blessures liées à la violence non armée nécessitant une hospitalisation en Suède de 1987 à 1994. Journal des traumatismes : blessures, infections et soins intensifs. 1999 Oct;47(4):733.
  6. 6. Brink O, Vesterby A, Jensen J. Pattern of injuries due to interpersonal violence. Injury [Internet]. 1998 Oct 1 [cited 2025 Feb 21]; 29(9):705–9. Available from: http://www.injuryjournal.com/article/S0020138398001764/fulltext
  7. 7. Shepherd JP, Fdsrcs P, Shapland Bsc M, Pearce NX, Scully BC. Pattern, severity and aetiology of injuries in victims of assault. J R Soc Med. 1990; 83:75.
  8. 8. Alvi A, Doherty T, Lewen G. Facial Fractures and Concomitant Injuries in Trauma Patients. Laryngoscope [Internet]. 2003 Jan 1 [cited 2025 Feb 21]; 113(1):102–6. Available from: https://onlinelibrary.wiley.com/doi/full/10.1097/00005537-200301000-00019
  9. 9. Haug RH, Prather J, Thomas Indresano A. An epidemiologic survey of facial fractures and concomitant injuries. Journal of Oral and Maxillofacial Surgery [Internet]. 1990 Sep 1 [cited 2025 Feb 21]; 48(9):926–32. Available from: http://www.joms.org/article/027823919090004L/fulltext
  10. 10. Bamjee Y, Lowie JF, Cleaton-Jones PE, Lownie MA. Maxillofacial injuries in a group of South Africans under 18 years of age. Br J Oral Maxillofac Surg [Internet]. 1996 [cited 2025 Feb 21]; 34(4):298–302. Available from: https://pubmed.ncbi.nlm.nih.gov/8866064/
  11. 11. BAKARDJIEV A, PECHALOVA P. Maxillofacial fractures in Southern Bulgaria - a retrospective study of 1706 cases. J Craniomaxillofac Surg [Internet]. 2007 Apr [cited 2025 Feb 21]; 35(3):147–50. Available from: https://pubmed.ncbi.nlm.nih.gov/17583526/
  12. 12. Kontio R, Suuronen R, Ponkkonen H, Lindqvist C, Laine P. Have the causes of maxillofacial fractures changed over the last 16 years in Finland? An epidemiological study of 725 fractures. Dent Traumatol [Internet]. 2005 Feb [cited 2025 Feb 21]; 21(1):14–9. Available from: https://pubmed.ncbi.nlm.nih.gov/15660750/
  13. 13. Kruger E, Smith K, Tennant M. Jaw fractures in the indigenous and non-indigenous populations of Western Australia: 1999-2003. Int J Oral Maxillofac Surg [Internet]. 2006 Jul 1 [cited 2025 Feb 21]; 35(7):658–62. Available from: http://www.ijoms.com/article/S0901502706000683/fulltext
  14. 14. Schön R, Roveda SIL, Carter B. Mandibular fractures in Townsville, Australia: incidence, aetiology and treatment using the 2.0 AO/ASIF miniplate system. Br J Oral Maxillofac Surg [Internet]. 2001 [cited 2025 Feb 21]; 39(2):145–8. Available from: https://pubmed.ncbi.nlm.nih.gov/11286451/
  15. 15. Jacques Lebas. adsp. 2001 [cited 2025 Feb 21]. p. 9–10 Jacques Lebas. Violences conjugales. Haut conseil de santé publique ; 2001. - Recherche Google. Available from: https://www.google.com/search?q=Jacques+Lebas.+Violences+conjugales.+Haut+conseil+de+sant%C3%A9+publique+%3B+2001.&oq=Jacques+Lebas.+Violences+conjugales.+Haut+conseil+de+sant%C3%A9+publique+%3B+2001.&gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBCDE4OTNqMGo3qAIIsAIB8QUIhJMGxIP6EfEFCISTBsSD-hE&sourceid=chrome&ie=UTF-8
  16. 16. Diallo AO, Odzili FI, Keita A, Bah M, Alloh H, Kourouma A, et al. Traumatismes Isolés de la Face à Conakry : Considérations Épidémiologiques et Prise en Charge. HEALTH SCIENCES AND DISEASE [Internet]. 2017 Oct 2 [cited 2025 Feb 21]; 18(4). Available from: https://www.hsd-fmsb.org/index.php/hsd/article/view/937
  17. 17. Keïta A, Diallo A, Condé M, Fofana M, Barry A, Diallo M, et al. Les urgences ORL au CHU de Conakry. Guinée Médicale [Internet]. 2013 Oct 1 [cited 2025 Feb 21]; 19–26. Available from: https://www.guineemedicale.org/index.php/guineemed/article/view/15
  18. 18. M. Adil ADNOUNI. Fracture des os propre du nez : étude analytique et descriptive de 200 observations en chirurgie maaxillo-faciale et esthétique [Internet]. [Marrakech]: UNIVERSITE CADI AYYAD; 2013 [cited 2025 Feb 21]. Available from: http://wd.fmpm.uca.ma/biblio/theses/annee-htm//FT/2013/these126-13.pdf
  19. 19. Hutchison IL, Magennis P, Shepherd JP, Brown AE. The BAOMS United Kingdom Survey of Facial Injuries Part 1: Aetiology and the association with alcohol consumption. British Journal of Oral and Maxillofacial Surgery [Internet]. 1998 Feb 1 [cited 2025 Feb 21]; 36(1):3–13. Available from: http://www.bjoms.com/article/S0266435698907392/fulltext
  20. 20. Lee KH. Interpersonal Violence and Facial Fractures. Journal of Oral and Maxillofacial Surgery [Internet]. 2009 Sep 1 [cited 2025 Feb 21]; 67(9):1878–83. Available from: http://www.joms.org/article/S027823910900620X/fulltext
  21. 21. Hadjizacharia P, O’Keeffe T, Plurad DS, Green DJ, Brown CVR, Chan LS, et al. Alcohol exposure and outcomes in trauma patients. Eur J Trauma Emerg Surg [Internet]. 2011 Apr [cited 2025 Feb 21]; 37(2):169–75. Available from: https://pubmed.ncbi.nlm.nih.gov/21837258/
  22. 22. Cotten NU, Resnick J, Browne DC, Martin SL, McCarraher DR, Woods J. Aggression and fighting behavior among African-American adolescents: individual and family factors. Am J Public Health [Internet]. 1994 [cited 2025 Feb 21]; 84(4):618–22. Available from: https://pubmed.ncbi.nlm.nih.gov/8154566/
  23. 23. Ellickson P, Saner H, McGuigan KA. Profiles of violent youth: substance use and other concurrent problems. https://doi.org/102105/AJPH876985 [Internet]. 2011 Aug 30 [cited 2025 Feb 21]; 87(6):985–91. Available from: https://ajph.aphapublications.org/doi/10.2105/AJPH.87.6.985
  24. 24. Nahulu LB, Andrade NN, Makini GK, Yuen NYC, McDermott JF, Danko GP, et al. Psychosocial Risk and Protective Influences in Hawaiian Adolescent Psychopathology. Cult Divers Ment Health. 1996;2(2):107–14.
  25. 25. Ebouat KMEV, Hiquet J, Christin E, Fougas J, Dubourg O, Gromb-Monnoyeur S. Étude rétrospective descriptive relative aux hommes victimes de violences intrafamiliales. La Revue de Médecine Légale. 2017 Jun 1;8(2):61–7.
  26. 26. Leles JLR, dos Santos ÊJ, Jorge FD, da Silva ET, Leles CR. Risk factors for maxillofacial injuries in a Brazilian emergency hospital sample. Journal of Applied Oral Science [Internet]. 2010 [cited 2025 Feb 21]; 18(1):23–9. Available from: https://www.scielo.br/j/jaos/a/WYNhnPJxkqj78bCTgHXjSrf/?lang=en
  27. 27. DIALLO OR, CAMARA SAT, DIALLO A, BAH AT, KANE BT, CAMARA AD, et al. Plaies traumatiques cervico-faciale… . MALI MEDICAL [Internet]. 2012 [cited 2025 Feb 21]; 10107(1):1–5. Available from: https://www.malimedical.org/2012/1a.pdf
  28. 28. Gromb S, Dost C. L’état d’incapacité temporaire totale et la qualification des violences. Médecine & Droit [Internet]. 2001 May 1 [cited 2025 Feb 21]; 2001(48):21–3. Available from: https://www.sciencedirect.com/science/article/abs/pii/S1246739101800312?via%3Dihub

Most read articles by the same author(s)

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.