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American Journal of Forensic Medicine & Pathology:
doi: 10.1097/PAF.0b013e3181875a8b
Case Report

Ear Bleeding: A Sign Not to be Underestimated in Cases of Strangulation

Duband, Sébastien MD*†; Timoshenko, Andréi P. MD‡§; Morrison, Alan L. MD*; Prades, Jean-Michel MD, PhD‡§; Debout, Michel MD, PhD†; Peoc'h, Michel MD, PhD*†

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Abstract

Otorrhagia is commonly associated with cranial trauma and diving accidents. In some forensic manuals, bleeding in the ears is anecdotally associated with strangulation. We report 2 cases of criminal strangulation with hemotympanum and otorrhagia, emphasizing the importance of this sign with strangulation. We present the proposed pathophysiology of the injuries and the value of otoscopic evaluation to complete the external examination in forensic cases suspicious for strangulation.

© 2009 Lippincott Williams & Wilkins, Inc.

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