Analysis of methods for quantitive evaluation of facial skeleton injuries applicable in forensic dental practice

Abstract

Continuous improvement of the medical care in Ukraine substantiates the need for development appropriate approaches for evaluating the quality of the iatrogenic interventions and rehabilitation measures. The success of treatment mostly depends on the adequacy of the primary diagnosis of the patient or the victim and the corresponding registration of present functional and structural violations at the time of admission. This stage of complex rehabilitation, in addition, plays an important role during forensic examinations that aimed at identifying the fact of a medical mistake, establishing conformity of medical care provision taking into account the initial clinical conditions and quantifying the effectiveness of treatment and prevention measures at the stage of long-term post-therapy monitoring. During provided retrospective analysis of publications, the following systems (algorithms) of the quantification of maxillofacial injuries were identified: Cooter-David Score, ISS, AIS, TRISS, MFISS, FFSS, ZS, AO/ASIF, FLOSID. The conducted analysis of the systems for quantitative assessment of the injuries parameters at the maxillofacial region indicates about the variability of the above described approaches in terms of topographical distribution of region of interest, criteria for assessing the severity of functional and structural violations, as well as in the terms of corresponding filling registration cards or computerized forms in relation to the specifics of methodological algorithm.