Healed Fracture of Superior Horn of Thyroid Cartilage in Autoerotic Asphyxia: An Indication of Prior Activity? A Case Report Utilizing 3D Scanning and Printing of the Larynx

Eckhardt, Michael; Shah, Kabeer; Bois, Melanie C.; Maleszewski, Joseph J.; Moore, Kellyanna; Lin, Peter T.

doi:10.23907/2018.012

Cited by 7 publications

(1 citation statement)

References 9 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eckhardt et al. [ 105 ] reported healed fracture of the superior horn of thyroid cartilage resulting from autoerotic asphyxia. The investigating team employed three-dimensional surface scanning and printing, coupled with histologic analysis to detect the alteration.…”

Section: Causesmentioning

confidence: 99%

Anthropological analysis of trauma in throat bone and cartilage: A review

Ubelaker

Cordero

et al. 2020

Forensic Science International: Synergy

View full text Add to dashboard Cite

In their analysis of recovered human remains, forensic anthropologists encounter structures of the throat (hyoid bone, thyroid cartilage/bone, cricoid cartilage/bone) that may present evidence of trauma. The recent published literature provides guidelines for the detection and interpretation of fractures in these tissues. Such traumatic injury frequently is associated with victims of hanging and strangulation, but many other causes have been recognized. Although the hyoid is not always recovered in skeletonized remains, it can reveal evidence of perimortem trauma and must be interpreted appropriately.

show abstract

Section: Causesmentioning

confidence: 99%

Anthropological analysis of trauma in throat bone and cartilage: A review

Ubelaker

Cordero

et al. 2020

Forensic Science International: Synergy

View full text Add to dashboard Cite

show abstract

Changes in occurrence and management of laryngeal fractures at the Helsinki University Hospital during 25 years

Mäkitie,

Nyman,

Ilmarinen

et al. 2023

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Purpose Laryngeal fracture is a rare but potentially life-threatening trauma. Fractures vary from mild to dislocated and extensive with risk of severe complications. This study investigated the occurrence, clinical characteristics and management of laryngeal fractures in the last 15 years. Material and methods A retrospective population-based cohort study reviewing all laryngeal fractures at the Helsinki University Hospital in 2005–2019. Patient records and imaging studies were systematically reviewed for mode of injury, fracture type, secondary complications, treatment modality, possible airway management, length of stay, and mortality. Results were compared with corresponding data from 1995 to 2004. Results Overall 80 fracture patients were recorded (5.3/year); 79% were men and mean age was 42 years (range 18–78). Altogether 91% were closed and 9% open. While unintentional traumas were most common (54%), an increasing proportion were from intentional injury (10%) or Schaefer Gr IV in severity (35%). Altogether 46% had compromised airway and 21% needed airway intervention; airway narrowing was more common with cricoid (p = 0.042) and multiple fractures (p = 0.07) and correlated positively with amount of dislocation (p = 0.001) and number of fracture lines (p = 0.006). Surgery was performed for 33%, of which 46% were Schaefer Gr IV and 62% from intentional trauma. Mortality was 1.4%. Conclusions Deliberate and violence-related laryngeal fractures have increased. These often result in more extensive injuries predisposing to compromised airway and requiring surgical intervention and longer treatment. Most fractures are still treated conservatively with good long-term outcomes. An observation period of 24 h is recommended to detect any delayed complications. Mortality remains low.

show abstract