Study of external and internal injuries to the neck structure in cases of hanging
Journal Title: Santosh University Journal of Health Sciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction Asphyxia could occur in various situations like Traumatic asphyxia Hanging Choking Smothering Strangulation poisoning etc There are both external and internal general features to diagnose fatal asphyxia macroscopically such as a External i ligature mark ii congestion cyanosis petechial hemorrhages b Internal fluidity of blood dilatation of right chamber of heart and visceral congestionMaterials and Methods An observational Cross sectional study was carried out in Department of Forensic Medicine Toxicology Santosh Medical College Ghaziabad A total 58 cases of fatal neck compression were included in this study during All the cases with alleged history of fatal neck compression were included in the study except where the dead body was severely decomposed that would effect the observation of findings In study the aim was to find out the different associated lesions injuries fracture of the organocomplex of the larynx bleeds in the tongue hemorrhage in the tonsils and tonsilar bedsResults Majority cases of hanging were seen in young adult age group of 20 30 years The overall male female ratio in cases of hanging was 111 Majority cases of hanging were suicidal Neck compression and hanging were seen between time interval of 6 AM to 12 noon Congestion of the face was observed in 6086 Hemorrhage in Subconjunctiva strap muscle tongue epiglottis and tonsil were seen in 13 2391 1304 20 and 1521 cases respectively Hyoid bone fracture was present in 1304 while thyroid cartilage fracture was present in 434Conclusion According to the present study hanging is more common in young adults mostly suicidal in nature congestion of face is most significant external feature in hanging while tonsillar heamorrage is significant internal feature Keywords Hanging Asphaxia External neck injury Internal neck injury Ligature mark
Authors and Affiliations
Yogesh Yadav, Anil Kumar Yadav, Virender Chhoker, Kaushal Kishore
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