Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: REVIEW
Adli Tıpta Koku Duyusu ve Değerlendirilmesi: Geleneksel Derleme
The Sense of Smell in Forensic Medicine and its Evaluation: Traditional Review
Cemil ÇELİKa , Hülya GÜLERb , Uğur ATAc , Murat PEHLİVANd
aKahramanmaraş Adli Tıp Şube Müdürlüğü, Kahramanmaraş, Türkiye
bEge Üniversitesi Tıp Fakültesi, Adli Tıp ABD, İzmir, Türkiye
cAdli Tıp Şube Müdürlüğü, Hakkâri, Türkiye
dEge Üniversitesi Tıp Fakültesi, Biyofizik ABD, İzmir, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2023;20(3):200-10
doi: 10.5336/forensic.2023-97336
Article Language: TR
Full Text
ÖZET
 Bu çalışmada, adli tıpta koku duyusu bozukluğunun değerlendirilmesine yardımcı olunması, adli raporlama sürecindeki sorunların ortaya konulması, bu sorunlara çözüm önerileri sunulması amaçlandı. Koku duyusunun önemi, koku duyusu sistemi, koku duyusu bozuklukları ve medikolegal değerlendirme, koku duyusu bozukluğunda uygulanacak testler, koku duyusu bozukluğunda iyileşme, temaruz, ülkemizdeki yasal mevzuat çerçevesinde değerlendirme başlıkları güncel literatür eşliğinde tartışıldı. Adli bir olay sonrasında koku bozukluğu olan kişilerin tıbbi öz geçmişinin incelenmesiyle beraber, detaylı anamnez ve muayenesi sonrasında, görüntüleme tetkikleriyle son durumunun ortaya konması ve koku duyusu bozukluğu testlerinin yapılması gerekmektedir. Adli olgularda anosmi ve hiposmi tanısı için psikofiziksel ve elektrofizyolojik testlerin birlikte uygulanması tanı koymada daha güvenilir sonuçlar verebilir. Parosmi, fantosmi, hiposmi gibi koku duyusu bozukluğu olgularına uygulanabilecek yaşam kalitesi anketleri, adli raporlarda arada kalınan durumlarda yol gösterici olabilir. Adli raporlarda, olay ile nedensellik bağı ve ortaya çıkan arızanın kalıcı olup olmadığı, tedavi ile daha iyi bir hâle gelip gelemeyeceği, koku duyusu bozukluğunun derecesi ve kişide koku bozukluğuna sekonder meydana gelen değişiklikler dikkat edilmesi gereken hususlardır. Adli bir olay sonrası sekonder kazanç kaygılarından dolayı artan temaruz riski de dikkat edilmesi gereken bir durumdur. Tüm bu hususlar göz önünde bulundurularak düzenlenecek adli rapor; denetime elverişli, somut, objektif ve güncel olma özelliği ile uygun bir bilirkişi raporu olacaktır.

Anahtar Kelimeler: Olfaktör bozukluk; temaruz; koku testi; psikofiziksel test; elektrofizyolojik test
ABSTRACT
 It was aimed to help the evaluation of sense of smell disorders in forensic medicine, to reveal the problems in the forensic reporting process and to offer suggestions to these problems. The importance of sense of smell, sense of smell system, sense of smell disorders and medico-legal evaluation, smell tests, recovery in sense of smell disorders, malingering, evaluation within framework of the legal legislation in Türkiye were discussed with the current literature. After a forensic incident, medical history of person with smell disorder should be examined, and after a detailed anamnesis and examination, final condition should be revealed with imaging tests and smell tests should be performed. The combined application of psychophysical and electrophysiological tests for the diagnosis of anosmia and hyposmia in forensic cases may yield more reliable results. Quality of life questionnaires that can be applied to odour disorder cases may be guiding in cases where there is a gap in forensic reports. In forensic reports, causal link with event and whether it is permanent, whether it can be improved with treatment, degree of the disorder, changes that occur secondary to odour disorder in person are issues that should be considered. The increased risk of malingering due to secondary gain concerns after a forensic event is also a situation that needs to be considered. The forensic report to be prepared by taking all these issues into consideration will be an appropriate expert report with characteristics of being suitable for inspection, concrete, objective and up-todate.

Keywords: Olfactory dysfunction; malingering; olfactory test; psychophysical test; electrophysiological test
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-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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