Stanley R B, Hanson D G
Arch Otolaryngol. 1983 May;109(5):344-7. doi: 10.1001/archotol.1983.00800190066017.
Laryngeal injuries secondary to manual strangulation are seen more often by the forensic pathologist than by the otolaryngologist. Forces sufficient to cause thyroid and cricoid cartilage fractures are usually sufficient to cause acute asphyxia and death. However, due to the static nature of the compressive forces applied in strangulation, fractures of the cartilaginous framework may occur without obvious mucosal disruption or submucosal hematoma formation. If the victim survives the initial assault and the injuries go unrecognized and untreated, delayed life-threatening airway obstruction of long-term vocal dysfunction may result. Computed tomography seems to be an excellent noninvasive technique to evaluate and verify cartilaginous laryngeal fractures and soft-tissue injury. Recognition of the potential for such injuries is the key to management and treatment.
法医病理学家比耳鼻喉科医生更常遇到因手动勒颈导致的喉部损伤。足以导致甲状腺和环状软骨骨折的力量通常足以导致急性窒息和死亡。然而，由于勒颈时施加的压缩力是静态的，软骨框架可能会发生骨折，而没有明显的黏膜破裂或黏膜下血肿形成。如果受害者在初次袭击中幸存下来，而损伤未被识别和治疗，可能会导致危及生命的延迟性气道阻塞或长期声带功能障碍。计算机断层扫描似乎是评估和验证喉部软骨骨折及软组织损伤的一种出色的无创技术。认识到此类损伤的可能性是管理和治疗的关键。
