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Chulalongkorn University

Chulalongkorn Medical Journal

2018

Asphyxia

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Full-Text Articles in Medicine and Health Sciences

Comparison Of Tympanic Membrane Injuries Between Hanging And Other Non-Asphyxiating Deaths By Otoscopic Examination, Pesoln Kosalakood, Koravik Meesilpavikkai, Permsarp Isipradit Jul 2018

Comparison Of Tympanic Membrane Injuries Between Hanging And Other Non-Asphyxiating Deaths By Otoscopic Examination, Pesoln Kosalakood, Koravik Meesilpavikkai, Permsarp Isipradit

Chulalongkorn Medical Journal

Background : Hanging is the most frequent suicidal method. It can cause tympanicmembrane (TM) injuries. Otoscopic examination is a non-invasive procedureto explore TM injuries that may be related to the pathological changesfrom hanging.Objective : To evaluate the value of TM injuries as a diagnostic tool in hanging cases.Methods : We prospectively examined 20 of hanging cases and 12 of non-asphyxiatingdeaths by otoscopic examination, photographed and blindly evaluated TMinjuries by an otolaryngologist from grade 0 to grade 3 according to severity.P – value, confidence of interval, sensitivity, specificity, positive predictivevalue (PPV), negative predictive value (NPV), area under the curve, andodd ratio …