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Ligature marks are sometimes absent or poorly delineated, especially when soft devices are used. Otorrhagia is poorly described in neck compression, and it is often an underestimated finding. Here, we report a case of massive bilateral otorrhagia produced during strangulation (death by garrotting), and we discuss the possible pathophysiological mechanisms. As our case demonstrates, otorrhagia can be a sign of neck compression and can aid in the diagnosis of death from strangulation. Therefore, a thorough examination of the external ear and otoscopy are recommended procedures in cases concerning for strangulation.<\/jats:p>","DOI":"10.1111\/1556-4029.15030","type":"journal-article","created":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T12:13:21Z","timestamp":1647864801000},"page":"1739-1742","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Otorrhagia in strangulations: An important but often underestimated finding in forensic pathology"],"prefix":"10.1111","volume":"67","author":[{"given":"Rosario","family":"Barranco","sequence":"first","affiliation":[{"name":"Department of Legal and Forensic Medicine University of Genova  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Tettamanti","sequence":"additional","affiliation":[{"name":"Department of Legal and Forensic Medicine University of Genova  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6616-0347","authenticated-orcid":false,"given":"Alessandro","family":"Bonsignore","sequence":"additional","affiliation":[{"name":"Department of Legal and Forensic Medicine University of Genova  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Ventura","sequence":"additional","affiliation":[{"name":"Department of Legal and Forensic Medicine University of Genova  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,21]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.paf.0000221082.72186.2e"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118570654.ch21"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/paf.0b013e3181d3dc02"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2012.05.007"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2004.09.106"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0000000000000341"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e3181875a8b"},{"key":"e_1_2_4_9_1","volume-title":"Knight\u2019s forensic pathology","author":"Saukko P","year":"2016"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102007\u2010997746"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0379\u20100738(90)90243\u2010r"},{"key":"e_1_2_4_12_1","first-page":"44","article-title":"A histological comparison of the temporal bone in strangulation and drowning","volume":"13","author":"Liu C","year":"1984","journal-title":"J Otolaryngol"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0000000000000559"},{"key":"e_1_2_4_14_1","first-page":"276","volume-title":"Forensic pathology","author":"Di Maio VJ","year":"2001"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/856045"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.93.4.878"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2004.04.055"}],"container-title":["Journal of Forensic Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.15030","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1556-4029.15030","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1556-4029.15030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T17:19:39Z","timestamp":1692811179000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1556-4029.15030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,21]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1111\/1556-4029.15030"],"URL":"https:\/\/doi.org\/10.1111\/1556-4029.15030","archive":["Portico"],"relation":{},"ISSN":["0022-1198","1556-4029"],"issn-type":[{"value":"0022-1198","type":"print"},{"value":"1556-4029","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,21]]},"assertion":[{"value":"2021-12-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}