Laryngeal anomalies: Pitfalls in adult forensic autopsies

Advenier, AS; Grandmaison, Geoffroy Lorin de la; Cavard, Stéphanie; Pyatigorskaya, Nadya; Malicier, D.; Charlier, Philippe

doi:10.1177/0025802413485731

Cited by 12 publications

(10 citation statements)

References 31 publications

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“…Anomalies of the hyoid bone involving differential development of the greater and lesser horns can result in the asymmetrical development of greater horns (8, 19) or agenesis of the lesser horn (8, 19,20). Atypical morphology can even include differences in shape of the hyoid bone.…”

Section: Discussionmentioning

confidence: 99%

“…Klovning and Yursik reported on a nearly circumferential hyoid bone from a 28-year-old male who was difficult to intubate (21). Osseous extensions, possibly resulting from Eagle Syndrome (ossification of the stylohyoid ligament) or from unknown etiology, have also been reported (19, 20). Practitioners should be aware of such anomalies as they can affect not only medical intervention, but also medicolegal death investigations.…”

Section: Discussionmentioning

confidence: 99%

“…Congenital malformations can also affect the larynx. The presence of a laryngeal cleft, an opening along the posterior region of the larynx extending anywhere from the pharynx to the trachea, have been reported in individuals; however, the presence of the cleft anteriorly, suggests a history of neck trauma (19). Differential development of the superior thyroid horns that result in unilateral or bilateral agenesis have also been observed (19, 22,23)…”

Section: Discussionmentioning

confidence: 99%

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The Laryngohyoid Complex in Medicolegal Death Investigations

Pinto

2016

Academic Forensic Pathology

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The laryngohyoid complex, composed of the hyoid bone and laryngeal cartilages, can be of interest in the autopsy setting, particularly when injuries are observed. Analysis of trauma to this structure can assist in establishing cause and manner of death. In many situations, the forensic anthropologist, with their expertise in analyzing bone and cartilage trauma, can assist in analyzing trauma to this complex. Although researchers have tried to study the relationships between causes of trauma to the osseocartilaginous structure and the observed injury pattern, they have not been successful in identifying unique signatures associated with different causes of trauma. This is because different causes can result in the same or similar injury patterns. In addition, variation due to growth and development or due to remote injury may change the structure's biomechanical response. The goal of this paper is to address issues that a forensic pathologist may encounter when assessing potential trauma to the osseocartilaginous structures of the laryngohyoid complex; in particular, it focuses on anatomical variants and trauma resulting from various causes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Laryngohyoid Complex in Medicolegal Death Investigations

Pinto

2016

Academic Forensic Pathology

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“…Sometimes it can be complete agenesis of one or more cornua 2 . In the literature, the agenesis of superior cornu has been reported very rarely [3][4][5] .…”

Section: Discussionmentioning

confidence: 99%

A variation of the thyroid cartilage: Absence of left superior cornu

et al. 2015

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SUMMARYThe agenesis of superior cornu is one of the congenital or acquired abnormalities of the thyroid cartilage. Superior cornu may not be present congenitally or may be dislocated subsequently. The agenesis of superior cornu may be diagnosed as a fracture mistakenly. In this article, 70-year-old male patient is presented who did not have left superior cornu of thyroid cartilage which was detected by autopsy.

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“…Anatomical variation of these throat structures [ [37] , [38] , [39] ] and unusual patterns of ossification can complicate interpretation [ 40 ]. Some variations can be mistaken for trauma-induced alterations [ 41 ] or other medical issues [ 42 ].…”

Section: The Structuresmentioning

confidence: 99%

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

Ubelaker

Cordero

et al. 2020

Forensic Science International: Synergy

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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.

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Laryngeal anomalies: Pitfalls in adult forensic autopsies

Cited by 12 publications

References 31 publications

The Laryngohyoid Complex in Medicolegal Death Investigations

The Laryngohyoid Complex in Medicolegal Death Investigations

A variation of the thyroid cartilage: Absence of left superior cornu

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

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