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[Morphologic findings for airway occlusion in strangulation].

H Maxeiner1

  • 1Institut für Rechtsmedizin, Freien Universität Berlin.

Archiv Fur Kriminologie
|January 1, 1989
PubMed
Summary

Hand strangulation can cause severe laryngeal bleeding, indicating airway closure. These findings highlight the critical internal injuries resulting from manual neck compression.

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Area of Science:

  • Forensic Pathology
  • Otolaryngology

Background:

  • Manual strangulation is a form of neck attack with potentially severe consequences.
  • Understanding the specific internal injuries is crucial for forensic analysis and medical intervention.

Observation:

  • Two cases of manual strangulation presented with symmetrical submucous laryngeal hemorrhages.
  • These bleedings occurred near the vocal processes of the arytenoid cartilages, affecting the conus elasticus.
  • One case involved a fractured cricoid cartilage, while the other showed intact cartilage but deep vocal fold hemorrhages.

Findings:

  • The observed laryngeal bleedings are attributed to forceful vocal fold contact during compression, possibly with arytenoid subluxation.
  • Such hemorrhages are indicative of airway compromise.
  • Analysis of 110 neck attack cases revealed similar, though less typical, bleedings in 7 additional instances, predominantly in manual strangulation.

Implications:

  • These findings underscore the potential for significant internal laryngeal trauma in manual strangulation cases.
  • Recognizing these specific injury patterns aids in the forensic determination of cause of death and manner of injury.
  • The data suggests that manual strangulation, even without external signs, can lead to life-threatening internal injuries.

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