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Nasal Septum Defects Detected on Postmortem Computed Tomography.

Vasiliki Chatzaraki1, Wolf Schweitzer, Michael J Thali

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Postmortem CT scans can identify nasal septum defects, distinguishing between pre-existing conditions and those caused by decomposition or maggot activity. This aids forensic investigations into trauma or cocaine abuse.

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Area of Science:

  • Forensic Pathology
  • Radiology
  • Forensic Entomology

Background:

  • Nasal septum defects have forensic significance, linked to trauma and cocaine abuse.
  • Decomposition involves maggot infestation, potentially affecting nasal tissues.

Observation:

  • Five cases (3 early, 2 advanced decomposition) with nasal septum defects were examined using external inspection and postmortem computed tomography (PMCT).
  • PMCT revealed smoother edges in early decomposition and irregular, maggot-infested edges in advanced decomposition.

Findings:

  • Postmortem CT effectively detects nasal septum defects.
  • Radiological appearance of defect edges differentiates pre-existing from postmortem changes.

Implications:

  • Findings can suggest chronic cocaine abuse, trauma, or other nasal pathologies.
  • Advanced decomposition can alter or create nasal septum defects, complicating interpretation.