Laryngohyoid fractures in suicidal hanging: A prospective autopsy study with an updated review and critical appraisal

Zátopková, Lenka; Janík, Martin; Urbanová, Petra; Mottlová, Jitka; Hejna, Petr

doi:10.1016/j.forsciint.2018.05.043

Cited by 37 publications

(36 citation statements)

References 126 publications

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“…The dependence of the frequency of fractures with the age of the dead was statistically proved. They also stressed the need to expand the diagnosis and not just focus on the fact that it is a mechanical neck injury [17].…”

Section: Resultsmentioning

confidence: 99%

Diagnostics of mechanical asphyxia – experience of foreign countries (literature review)

Yakovtsova

Hurov

Nikonov

et al. 2021

SR:MS

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The aim of this study is to establish modern, global trends in the diagnosis of mechanical asphyxia. Materials and methods: search and bibliographic method (theoretical analysis, systematization and classification of library catalogues, printed and electronic sources on mechanical asphyxia) from open anchor databases Scopus preview, Web of Science and using information retrieval systems Google Scholar, Open Ukrainian Citation Index (OUCI), ScienceDirect on the Internet. Results: mechanical asphyxia, as one of the most common types of violent death, ranks first among deaths from mechanical injuries. Its study is of great interest among medical scientists in various fields, especially for resuscitators and forensic experts. Establishing the causes of asphyxia, clinical and morphological manifestations, and the consequences that unfortunately most often lead to death. With the rapid development of society, science is also developing rapidly, and the latest sensitive methods of diagnosing diseases are emerging. However, unfortunately, in the post-Soviet space, the diagnosis of most pathological conditions, including asphyxia, is determined by experience and sensory organs, which are determined using instrumental research methods in compliance with the requirements of evidence-based medicine. Given the peculiarities of the pathophysiological processes of the asphyxiation state and their manifestations in the body, doctors should rely primarily on general knowledge about hypoxic and asphyxiation disorders, which are determined using instrumental research methods in compliance with the requirements of evidence-based medicine. Conclusions: at present, the diagnosis of asphyxia consists of many morphological features. Failure to take into account the state of the body, the presence of chronic diseases, and drug or alcohol intoxication at the time of asphyxiation complicate the diagnosis. Detection of individual clinical manifestations or morphological features does not allow asserting its lifelong origin. Therefore, it is necessary to use modern research methods that should expand the possibilities of forensic diagnosis of the viability of injuries in terms of evidence-based medicine and provide forensic experts with a scientific basis for their results. One such method is immunohistochemical, which is gaining popularity and consolidating its position in the EU, China, Japan and America. In addition, this method is well-established and widespread in morphological studies of differential diagnosis of tumours. Some scientific works prove the expediency of using the immunohistochemical method to solve the problems of forensic expert practice, which is an actual scientific and practical task

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Section: Resultsmentioning

confidence: 99%

Diagnostics of mechanical asphyxia – experience of foreign countries (literature review)

Yakovtsova

Hurov

Nikonov

et al. 2021

SR:MS

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“…Fracture of the thyroid cartilage was found as the major prevalent laryngohyoid fractures found in an earlier study. 9 Cyanosis and congestion of visceral organs were found in most of the cases. These could not be detected clearly in eight cases, due to decomposition.…”

Section: Discussionmentioning

confidence: 98%

Major Predisposing Factors Influencing the Suicide by Hanging: A Retrospective Study from a Tertiary Care Government Hospital in Kerala State, South India

Thomas¹,

John²

2019

IJCMR

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Introdcution: A variable incidence of hanging is found as second major group among the total number of autopsies done in the Department of Forensic Medicine, Govt. Medical College, Calicut, Kerala state, South India. The incidences are found to be varying according to the social and economic status of the society. This retrospective study was done in a tertiary care Government Hospital to find the major predisposing factors influencing the suicide by hanging. Material and Methods: Case history were taken in detail from questionnaires to the relations of the deceased and from Police. The results were analyzed on the basis of history, postmortem findings and results of laboratory investigations. Results: The age group 16-25 was found to be the most prevalent (75%) for suicidal hanging. Among the religion, Hindu religion showed the highest (80%) number. More cases were found among the manual labourers and lower middle class people. People without children were more prone to suicide by hanging. Among the precipitating factors, mental illness was the highest factor. Fracture of hyoid bone was found during autopsy in majority of cases of complete hanging. Conclusion: Psychological upset and educational status played an important role in suicidal hanging. The highest incidence was seen among those with lower educational status. Hence, proper identification of such people and presenting them to effective counselling may reduce the incident rate.

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“…Zátopková et al. [ 74 ] published an autopsy-based study of deaths due to suicidal hanging. They found laryngohyoid fractures in 72.5% of the sample with fracture of the thyroid cartilage being most common (33.7%).…”

Section: Causesmentioning

confidence: 99%

Anthropological analysis of trauma in throat bone and cartilage: A review

Ubelaker

Cordero

et al. 2020

Forensic Science International: Synergy

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In their analysis of recovered human remains, forensic anthropologists encounter structures of the throat (hyoid bone, thyroid cartilage/bone, cricoid cartilage/bone) that may present evidence of trauma. The recent published literature provides guidelines for the detection and interpretation of fractures in these tissues. Such traumatic injury frequently is associated with victims of hanging and strangulation, but many other causes have been recognized. Although the hyoid is not always recovered in skeletonized remains, it can reveal evidence of perimortem trauma and must be interpreted appropriately.

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Laryngohyoid fractures in suicidal hanging: A prospective autopsy study with an updated review and critical appraisal

Cited by 37 publications

References 126 publications

Diagnostics of mechanical asphyxia – experience of foreign countries (literature review)

Diagnostics of mechanical asphyxia – experience of foreign countries (literature review)

Major Predisposing Factors Influencing the Suicide by Hanging: A Retrospective Study from a Tertiary Care Government Hospital in Kerala State, South India

Anthropological analysis of trauma in throat bone and cartilage: A review

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