Turgay BÖRK, Muhammet BATBAŞ, Nazif Harun VİCDANLI, Abdürrahim TÜRKOĞLU

Asıya Bağlı Uzun Styloid Proçes Kırığı

Asıya bağlı ölümlerin postmortem incelemelerinde boyun yumuşak dokularının, kıkırdak ve kemik dokularının incelenmesi rutin bir protokoldür. Uygulamada hyoid kemik ve tiroid kıkırdak kırıkları ile kırık etrafındaki kanama ve ekimozlar canlı asının belirlenmesinde büyük öneme sahiptir. Stiloid proçes, kafa kaidesinde temporal kemikten aşağı, mediale ve anteriora doğru uzanan ince bir kemiktir. Toplumda uzun styloid proçes varyasyonlarına rastlanılmaktadır. Literatürde asıya bağlı uzun styloid proçes kırığı bulunmamaktadır. Asıya bağlı ölümlerde hyoid kemik ve tiroid kıkırdak dokuların yanısıra styloid proçeste kırık açısından değerlendirilmelidir.

Anahtar Kelimeler:

Otopsi, styloid çıkıntı, ası

Fracture of the Elongated Styloid Process by Hanging

It is a routine protocol to examine the soft tissues, cartilage and bone tissues of the neck during post-mortem examinations performed in the cases of hanging-related deaths. Fractures of the hyoid bone and thyroid cartilage, as well as bleeding and ecchymoses around the first fracture are practically of great importance in establishing the case as live hanging. The styloid process is a thin bone at the base of the skull that extends downward, medially, and anteriorly from the temporal bone. Elongated variations of styloid process are encountered in society. In literature, there are no reported cases of elongated styloid process fractures due to hanging. In hanging-related deaths, along with hyoid bone and thyroid cartilage tissues, styloid process should also be evaluated for fractures.

Keywords:

Autopsy, styloid proces, hanging.,

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1. MC. Russo, A. Verzeletti, M. Piras, F. De Ferrari. Hanging deaths: a retrospective study regarding 260 cases. Am. J. Forensic Med. Pathol. 2016; 37(3): 141-145. PMID: 27281442 DOI: 10.1097/PAF.0000000000000239
2. Elfawal MA, Awad OA. Deaths from hanging in the Eastern province of Saudi Arabia. Med Sci Law 1994; 34: 307-12.
3. Azmak D. Asphyxial deaths: a retrospective study and review of the literature. Am J Forensic Med Pathol 2006; 27(2): 134-44.
4. Colby CC, Del Gaudio JM. Stylohyoid complex syndrome: a new diagnostic classification. Arch Otolaryngol Head Neck Surg 2011;137:248-52.
5. Johnson GM, Rosdy NM, Horton SJ. Manual therapy assessment findings in patients diagnosed with Eagle's Syndrome: a case series. Man Ther 2011;16:199-202.
6. Tugaleva E, Gorassini DR, Shkrum MJ, Retrospective analysis of hanging deaths in Ontario, J. Forensic Sci. 2016; 61(6): 1498-1507. PMID: 27514837 DOI: 10.1111/1556-4029.13179
7. Nikolic Slobodan, Zivkovic V. Cervical spine injuries in suicidal hanging without a long drop-patterns and possible underlying mechanisms of injury: an autopsy study. Forensic Sci Med Pathol 2014; 10: 193-197.
8. Dean DE, Kohler LJ, Sterbenz GC, et al. Observed characteristics of suicidal hangings: an 11-year retrospective review. J Forensic Sci. 2012; 57(5): 1226-1230.
9. Hejna P, Bohnert M. Decapitation in suicidal hanging: vital reaction patterns. J Forensic Sci. 2013; 58(Suppl 1): 270-7.
10. Green H, James RA, Gilbert JD, Byard RW. Fractures of the hyoid bone and laryngeal cartilages in suicidal hanging. Journal of Clinical Forensic Medicine 2000; 7: 123-126.
11. Jeweett J, Moriarity R. Eagle syndrome: an incidental finding in a trauma patient: a case report. The Journal of Emergency Medicine 2014; 46(1): 9-12.
12. Moon CS, Lee BS, Kwon YD, Choi BJ et al. Eagle’s syndrome: a case report. J Korean Assoc Oral Maxillofac Surg 2014; 40: 43-47.
13. Blythe JN, Matthewss NS, Connor S. Eagle’s syndrome after fracture of the elongated styloid process. British Journal of Oral and Maxillofacial Surgery 2009; 47: 233-235.