TEN YEARS RETROSPECTIVE AUTOPSY STUDY OF THROTTLING AND TRAUMATIC ASPHYXIA
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i6.47298Keywords:
Violent asphyxial deaths, Throttling, Traumatic asphyxiaAbstract
Objectives: The objectives of the study were to assess the characteristics of wounds on the body if present and to study the effect of constriction externally as well as internally on the underlying structures of the neck in throttling and traumatic asphyxia.
Methods: Collection of data was done from the record of the autopsies conducted of cases of traumatic asphyxia and throttling among the violent asphyxial deaths in the mortuary associated with the Department of Forensic Medicine and Toxicology, Government Medical College, Amritsar, during the past 10 years from January 1, 2006, to December 31, 2015.
Results: Among the violent asphyxial deaths studied, 5 (1.23%) cases studied were of throttling, 4 (0.98%) cases were of suffocation, and the least common was traumatic asphyxia for which only 3 (0.74%) cases were studied. Out of 5 cases of throttling, mechanical injuries were present in 4 (80%) cases, out of which bruises were seen in 1 (20%) case, while abrasions in combination with bruises were seen in 3 (60%) cases. Among the 3 (100%) cases of traumatic asphyxia, contusion of strap muscles, contusion of sternocleidomastoid, and contusion of subcutaneous tissue of the neck were present in all 3 (100%) cases. Regarding the time since death, the majority of cases of throttling and traumatic asphyxia 4 (50%) cases have 12 to 24 h, followed by two each (25%) have 24 to 36 h and 3 to 7 days.
Conclusion: Knowledge of these structures is necessary for the consistent diagnostic challenges associated with throttling, strangulation, and other forms of neck compression.
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References
Simpson CK. Simpson’s Forensic Medicine. 12th ed. London: Arnold, Odder Headline Group; 2003. p. 92-6.
Reddy KN, Murty OP. The Essentials of Forensic Medicine and Toxicology. 34th ed. New Delhi, India: Jaypee Brothers Medical Publishers; 2014. p. 299-333.
Reddy KN, Murty OP. The Essentials of Forensic Medicine and Toxicology. 34th ed. New Delhi, India: Jaypee Brothers Medical Publishers; 2014. p. 354-58.
Reddy KN, Murty OP. The Essentials of Forensic Medicine and Toxicology. 34th ed. New Delhi, India: Jaypee Brothers Medical Publishers; 2014. p. 359-64.
Pollanen MS. Pitfalls and artifacts in the neck at autopsy. Acad Forensic Pathol 2016;6:45-62. doi: 10.23907/2016.005, PMID 31239872
Gargi J, Gorea RK, Chanana A, Mann G. Violent asphyxial deaths-A six years study. J Indian Acad Forensic Med 1992;12:171-6.
Singh A, Singh D. Comparative study of hanging and strangulation cases in Northeast and Northwest Regions of Punjab. J Punjab Acad Forensic Med Toxicol 2009;9:6-8.
Srinivasareddy PS, Rajendrakumar R, Rudramurthy. Asphyxial deaths at District Hospital, Tumkur a retrospective study. J Indian Acad Forensic Med 2012;34:146-7.
Patel AP, Bhoot RR, Patel DJ, Patel KA. Study of violent asphyxial death. Int J Med Toxicol Forensic Med 2013;3:48-57.
Kumar AS, Chandan V, Rudresh YC, Govindaraju HC, Gouda S. Study of violent asphyxial deaths in Chitradurga district of Karnataka. Int J Biomed Adv Res 2013;4:868-71.
Sharma BR, Harish D, Sharma A, Sharma S, Singh H. Injuries to neck structures in deaths due to constriction of neck, with a special reference to hanging. J Forensic Leg Med 2008;15:298-305. doi: 10.1016/j. jflm.2007.12.002, PMID 18511004
Uzün I, Büyük Y, Gürpinar K. Suicidal hanging: Fatalities in Istanbul retrospective analysis of 761 autopsy cases. J Forensic Leg Med 2007;14:406-9. doi: 10.1016/j.jflm.2007.01.002, PMID 17720591
Gurudut KS, Kumar AS, Gouda HS. Analysis of fatal cases of mechanical asphyxia at Belgaum, Karnataka. J Forensic Med Toxicol 2011;28:51-3.
Momonchand A, Devi TM, Fimate L. Violent asphyxial deaths in Imphal. J Forensic Med Toxicol 1998;15:60-4.
Meel BL. A study on the incidence of suicide by hanging in the sub-region of Transkei, South Africa. J Clin Forensic Med 2003;10:153-7. doi: 10.1016/S1353-1131(03)00077-4
Maxeiner H, Bockholdt B. Homicidal and suicidal ligature strangulation-- a comparison of the post-mortem findings. Forensic Sci Int 2003;137:60-6. doi: 10.1016/s0379-0738(03)00279-2, PMID 14550616
Tirmizi SZ, Mirza FH, Paryar HA. Medicolegal investigation of violent asphyxial deaths - an autopsy based study. J Dow Univ Health Sci 2012;6:86-90.
Olmstead EG. Fractures of the hyoid bone; presentation of two cases, with a review of the literature. Arch Otolaryngol (1925) 1949;49:266- 74. doi: 10.1001/archotol.1949.03760090025002, PMID 18124768
Guernsey LH. Fractures of the hyoid bone. J Oral Surg (Chic) 1954;12:241-6. PMID 13163779
Bagnoli ML, Leban SG, Williams FA. Isolated fracture of the hyoid bone: Report of a case. J Oral Maxillofac Surg 1988;46:326-8. doi: 10.1016/0278-2391(88)90020-1, PMID 3162968
Kaufman HJ, Ciraulo DL, Burns RP. Traumatic fracture of the hyoid bone: Three case presentations of cardiorespiratory compromise secondary to missed diagnosis. Am Surg 1999;65:877-80. doi: 10.1177/000313489906500915, PMID 10484094
Kumar GN, Manjunatha B, Rani S, Balaraj BM, Babu YP. Traumatic asphyxial deaths. El Med J 2014;2:319-20. doi: 10.18035/emj.v2i3.238
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