Abstract

The morbid anatomical findings in 84 cases of strangulation are presented. The incidence of homicidal strangulation is given by age, sex and method employed. The patterns of injury are reviewed; injuries to the cartilages, and to the carotid arteries, are found to occur more frequently than a review of the literature would suggest. The effects of age and type of ligature on the findings are examined. The experience of other observers that hyoid and laryngeal injury is increasingly common in older subjects is confirmed. It is tentatively suggested that carotid artery injury is related to degenerative vascular disease. The extent of injury in ligature strangulation is related to the width and elasticity of the ligature and to the force applied, and may resemble that seen in manual strangulation if a broad ligature has been used.

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