眼眶内侧壁骨折伴单侧鼻骨骨折损伤程度鉴定1例

Identification of Damage Degree of Orbital Medial Wall Fracture with Unilateral Nasal Bone Fracture: A Case Report

眼眶内侧壁是眶骨最薄弱部位,鼻部为面部最高点,鼻骨较薄而脆弱;上述两部位易因徒手伤、工具打击等暴力作用导致骨折,是司法鉴定实践中的常见损伤类型。《人体损伤程度鉴定标准》(以下简称新《标准》)施行以来,在鉴定工作中遇到新《标准》中针对上述损伤的条款适用存在争议问题。如单纯性眼眶内侧壁骨折或鼻骨线性骨折伴有明显移位的损伤程度,对照旧的损伤程度鉴定标准相应条款可分别鉴定为轻伤。而新《标准》中对单侧眼眶内侧壁骨折与单纯鼻骨骨折同时存在的情况没有条款明确规定。按照新《标准》上述损伤似乎只能鉴定为轻微伤。笔者结合一例单侧眼眶内侧壁骨折伴对侧单侧鼻骨骨折的案例,就如何鉴定损伤程度问题,提出自己的观点供同行参考。

The medial wall of orbit is the weakest part of orbital bone, the nose is the highest point of face, and the nasal bone is thin and fragile. These two positions are prone to fracture due to violent actions such as unarmed injuries and tool blows, which are common types of injuries in the practice of judicial expertise. Since the implementation of “Standards for Identification of Human Injury Degree” (hereinafter referred to as the new “Standards”), there have been controversial issues in the application of the clauses in the new “Standards” for the above injuries. For example, for simple orbital medial wall fracture or linear fracture of nasal bone with obvious displaced injury degree, the corresponding clauses of the same injury degree appraisal standard can be respectively identified as minor injuries. However, in the new “Standard”, there is no explicit provision on the coexistence of unilateral orbital medial wall fracture and simple nasal bone fracture. According to the new “Standard”, it seems that the above injuries can only be identified as minor injuries. Com-bined with a case of unilateral orbital medial wall fracture with contralateral unilateral nasal bone fracture, the author puts forward his own views on how to identify the degree of injury for peer reference.