Neck Findings of Hanging and Strangulation Cases That Underwent Autopsy in Adana
DOI:
https://doi.org/10.17986/blm.2011161719Keywords:
hanging, strangulation, neck pressure, autopsy, forensic medicineAbstract
Deaths due to the mechanical forces applied to the neck are frequently encountered in forensic medicine practice. Among these, hanging accounts for the majority of the forensic cases. Strangulation cases are also seen though not common. The present study was performed to determine the prevalence of neck findings in the hanging and strangulation cases that are frequently encountered by the forensic medicine specialists, as well as to discuss the results in the light of the literature. The records of the autopsies performed at Forensic Medicine Institution Adana Group Authority Morgue Specialty Office between the years 2008 and 2009 were retrospectively reviewed. One hundred and seventy cases (6.2%) that were assessed to have died due to a neck pressure (hanging or strangulation) were included in the study out of2726 cases. Of the cases, 159 have died of hanging and 11 have died of strangulation. It was determined that 104 (61.2%) of the cases were male and 66 were female, hanging accounted for 93.5% and strangulation accounted for 6.5%, all of the hangings were suicidal, whereas the strangulations were murder. Ages of the cases ranged between 4 and 86 years; the majority of the cases (n=37, 21.7%) were between 21 and 30 years of age, whereas 32 cases were between 11 and 20 years of age. It was determined that there were two girls between the ages 0 and 10 years and have died of strangulation. It was observed that 121 of the hanging cases were typical (the node was behind the neck), whereas 38 were atypical. Thyroid cartilage fracture was determined in 43 (25.3%) cases died of hanging and strangulation, whereas hyoid bone fracture was determined in 25(14.7%) cases and both thyroid cartilage fracture and hyoid bone fracture were determined in 11(6.5%) cases. Fracture or dislocation in cervical vertebra was observed in 7 cases. Totally 86 (50.6%) cases had thyroid cartilage, hyoid bone and cervical vertebra findings.
Key words: Hanging, strangulation, neck pressure, autopsy, forensic medicine.
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References
Knight B, Saukko P. Fatal pressure on the neck. In: Knight's Forensic Pathology. 3rd ed. London, England: Arnold Publishers; 2004:368-394. DOI: https://doi.org/10.1201/b13642-16
Koç S, Özaslan A. Genel olarak asfiksüer, ası, boğma, tıkama tıkanma, kimyasal asfiksiler, Soysal Z, Çakalır C.(Eds) Adli Tıp,Cilt I. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Yayınlarından Rektörlük No: 4165 İstanbul, 1999:405-457.
Cantürk N, Cantürk G, Koç S, Özata Ah. İstanbul'da ası sonucu ölümler; 2000-2002 yıllarında yapılan otopsüerin retrospektif değerlendirmesi. Adli Trp Dergisi 2005;19(1):6- 13
Ojima T, Nakamura Y, Detels R. Comparative study about methods of suicide between Japan and the United States. J Epidemiol 2004; 19:823-829. DOI: https://doi.org/10.2188/jea.14.187
Zerbini T, de Carvalho Ponce J, Mayumi Sinagawa D, Barbosa Cintra R, Romero Munoz D, Leyton V. Blood alcohol levels in suicide by hanging cases in the state of Sao Paulo, Brazil. J Forensic Leg Med. 2012;19(5):294-6. DOI: https://doi.org/10.1016/j.jflm.2012.02.022
Betz, P, Eisenmenger W. Frequency of Throat-Skeleton Fractures in Hanging. Am J Forensic Med Pathol 1996;17(3):191-193. DOI: https://doi.org/10.1097/00000433-199609000-00002
Wang W, Kong L, Dong R, Zhao H. Fracture of the hyoid bone associated with atlantoaxial subluxation: a case report and review of the literature. Am J Forensic Med Pathol 2007;28(4):345-347. DOI: https://doi.org/10.1097/PAF.0b013e31814250a1
DiMaio DJ, DiMaio VJM. Forensic Pathology. 2. ed. Boca Raton, Ann Arbor, London, Tokyo. CRC Press 1993. P:207- 247.
Toygar M, Tuğcu H, Örs F, Sanal Ht, Safalı M, Somuncu İ. Ası sonucu bir ölüm olgusunda, manyetik rezonans ve bilgisayarlı tomografi görüntüleme yöntemlerinin postmortem kullanılabilirliği [postmortem availability of radyological imaging technics like computed tomography and magnetic resonance in hanging death cases]. Türkiye Klinikleri J Foren Med2008;5(l):35-38.
Green H, James RA, Gilbert JD, Byard RW. Fractures of the hyoid bone and laryngeal cartilages in suicidal hanging. Journal of Clinical Forensic Medicine 2000;7(3); 123-126. DOI: https://doi.org/10.1054/jcfm.2000.0419
Üzün I, Büyük Y, Gürpinar K. Suicidal hanging: fatalities in Istanbul retrospective analysis of 761 autopsy cases. J Forensic LegMed2007;14(7):406-409. DOI: https://doi.org/10.1016/j.jflm.2007.01.002
Inamci MA, Polat O, Aksoy E, Sözen S, Yurtman T. Asiya bağlı ölümler (50 olguluk retrospektif çalışma) [Hanging- related fatalities (retrospective study of 50 autopsy cases)]. Turkish J Forensic Med 1995 ; 11 (2) :31-37.
Suarez-Penaranda JM, Alvarez T, Miguens X, Rodriguez- Calvo MS, de Ahajo BL, Cortesao M, Cordeiro C, Vieira DN, Munoz JI. Characterization of lesions in hanging deaths. J Forensic Sci2008;53(3):720-723 DOI: https://doi.org/10.1111/j.1556-4029.2008.00700.x
Demirci S, Dogan KH, Erkol Z, Gunaydin G. Ligature strangulation deaths in the province of Konya (Turkey). J Forensic LegMed2009;16(5):248-252. DOI: https://doi.org/10.1016/j.jflm.2008.12.013
Nikolic S, Zivkovic V, Babic D, Jukovic F, Atanasijevic T, Popovic V. Hyoid-laryngeal fractures in hanging: where was the knot in the noose? Med Sei Law 2011;51(l):21-25. DOI: https://doi.org/10.1258/msl.2010.010016
Charoonnate N, Narongchai P, Vongvaivet S. Fractures of the hyoid bone and thyroid cartilage in suicidal hanging. J Med Assoc Thai 2010;93(10):1211-1216.
Clement R, Guay JP, Sauvageau A. Fracture of the neck structures in suicidal hangings: a retrospective study on contributing variables. Forensic Sei Int 2011 ; 15:122-6. DOI: https://doi.org/10.1016/j.forsciint.2010.09.016
Kosky RJ, Dundas P. Death by hanging: implications for prevention of an important method of youth suicide. Aust N Z J Psychiatry 2000;34:836-841. DOI: https://doi.org/10.1080/j.1440-1614.2000.00807.x
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