title: Post-mortem imaging of laryngohyoid fractures in strangulation incidents: first results.
abstract: Fractures and soft-tissue injuries of the neck are of great importance in forensic pathology, as they help in assessing whether strangulation took place, and if so, how severely. In this study, we examined the usefulness of post-mortem imaging with multislice computed tomography (MSCT) in detecting lesions of the laryngohyoid structures and the surrounding soft-tissues. For this purpose, we examined MSCT images of the neck of eight deceased persons who had suffered different types of strangulation and compared the findings with those obtained at the subsequent forensic autopsy. In six of the eight cases (75%), the fracture findings at autopsy were concordant with those found with MSCT. In the two non-congruent cases, MSCT revealed fractures, which were not discovered at autopsy. Soft-tissue haemorrhages were detected by autopsy in five cases, but only in one case with MSCT. MSCT does not suffice in detecting soft-tissue injuries. These preliminary results are promising regarding the detection of fractures in strangulation cases. If these results can be confirmed in larger studies, we believe that post-mortem MSCT may serve - in combination with a thorough external examination and a profound incident-scene investigation - as a useful decision-making tool regarding the necessity of further examinations, i.e. autopsy.
authors.affiliation: Centre for Forensic Imaging and Virtopsy, Institute of Forensic Medicine, University of Bern, Buehlstrasse 20, 3012 Bern, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Kempter
authors.forename: S
authors.initials: S
authors.lastname: Ross
authors.forename: D
authors.initials: D
authors.lastname: Spendlove
authors.forename: P M
authors.initials: PM
authors.lastname: Flach
authors.forename: U
authors.initials: U
authors.lastname: Preiss
authors.forename: M J
authors.initials: MJ
authors.lastname: Thali
authors.forename: S A
authors.initials: SA
authors.lastname: Bolliger
mesh_terms: D000328:Adult; D000368:Aged; D001237:Asphyxia / Q000000981:diagnostic imaging*; D001344:Autopsy; D003413:Cricoid Cartilage / Q000000981:diagnostic imaging / Q000293:injuries*; D003933:Diagnosis; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging*; D006708:Homicide; D006801:Humans; D006928:Hyoid Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries / Q000000981:diagnostic imaging*; D013405:Suicide; D013957:Thyroid Cartilage / Q000000981:diagnostic imaging / Q000293:injuries*; D014057:Tomography, X-Ray Computed