The Influence of Age, Sex, and BMI on Neck Cartilage and Bone Fractures in Hanging Deaths: A 6-Year Autopsy Study

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dc.contributor.authorBork, T.
dc.contributor.authorSehlikoglu, K.
dc.contributor.authorCelbis, O.
dc.contributor.authorOner, B. S.
dc.date.accessioned2026-01-24T12:26:39Z
dc.date.available2026-01-24T12:26:39Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractBackground:Asphyxia by hanging is caused by the constricting force of a ligature encircling the neck, with gravity pulling the body downward. Postmortem examinations should focus on cartilaginous and soft tissues in the neck region.Aim:The present study aims to demonstrate the effect of various variables such as age, sex, height, weight, and BMI on postmortem findings in cartilaginous and bone tissues in the neck region.Materials and Methods:The study is a retrospective descriptive study covering 248 cases of death by hanging.Results:The mean age of the cases was 39.8 years, and 69.8% (n = 173) of the cases were male. Thyroid cartilage fracture was observed in 98 (39.5%) cases and hyoid bone fracture in 80 (33.3%) cases. Hyoid bone fractures were 4.4 times more frequent in women (P < 0.05). Although there was no significant difference between the number of thyroid cartilage fractures and sex (P = 0.274). There was a significant difference in terms of weight (P = 0.004) in cases with thyroid fracture and in weight (P = 0.001) and height (P = 0.037) in cases with hyoid fracture. A significant difference was observed in BMI in the occurrence of thyroid cartilage fractures (P < 0.05).Conclusion:This study is one of the largest series in the literature and is an important study that reveals the statistical significance of neck cartilage and bone tissues in autopsy results. When investigating neck cartilage and bone fractures in cases of death by hanging, the attending physician should consider the physical condition of the individual.
dc.identifier.doi10.4103/njcp.njcp_378_25
dc.identifier.endpage1162
dc.identifier.issn1119-3077
dc.identifier.issn2229-7731
dc.identifier.issue10
dc.identifier.pmid41307372
dc.identifier.scopus2-s2.0-105023210696
dc.identifier.scopusqualityQ2
dc.identifier.startpage1158
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_378_25
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4841
dc.identifier.volume28
dc.identifier.wosWOS:001626522600016
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofNigerian Journal of Clinical Practice
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectAsphyxia death
dc.subjecthanging
dc.subjectneck injuries
dc.subjectsuicide
dc.titleThe Influence of Age, Sex, and BMI on Neck Cartilage and Bone Fractures in Hanging Deaths: A 6-Year Autopsy Study
dc.typeArticle

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