耳软骨作为估计人类死后时间间隔的工具

Melad G. Paulis, I. Fawzy, Hana’ Qudsieh, Ayman Faheem
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摘要

背景:准确估计死后(PM)的时间间隔,尽管是日常法医专家的工作,仍然是一个具有挑战性的做法。科学在这个话题上继续发展。软骨是一种特殊的无血管、非淋巴和非神经特异性结缔组织。目的:本研究旨在评估耳廓弹性软骨作为估计人类晚PM时间间隔的工具的使用。方法:对43例死因可疑的受害人耳部软骨进行活检。常规血红素和伊红(H&E)染色。检查以下组织病理学参数:软骨膜、含软骨细胞的腔隙数量、核物质和细胞外基质。在不同的死后(PM)时间间隔对每个参数采用评分系统。结果:病例分为3组(1 ~ 7天、8 ~ 14天、15 ~ 21天)。检查的组织学参数在测试的PM间隔内给出统计学上显著的变化。测试参数与PM区间之间的相关系数给出了显著的结果。无软骨细胞的腔隙百分比r值最高,软骨膜损失百分比r值最低(分别为0.62和0.35)。结论:人耳廓软骨的变化与PM间期有关。未来还需要进行大样本调查,研究环境因素对这些变化的影响。
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AURICULAR CARTILAGE AS A TOOL FOR POSTMORTEM INTERVAL ESTIMATION IN HUMAN
Background: Accurate estimation of the postmortem (PM) interval, despite being a routine daily forensic expert work, is still a challenging practice. Science continues to grow in this topic. Cartilage is a specific avascular, non-lymphatic, and non-nervous specific connective tissue. Objectives: This work aimed to assess the use of auricular elastic cartilage as a tool for estimation of late PM interval in human. Methods: Biopsies were taken from ear cartilages of 43 victims how died from suspicious criminal causes. Routine haematoxylin and eosin (H&E) staining was performed. The following histopathological parameters were examined, perichondrium, the number of lacunae with chondrocytes, nuclear material, and extracellular matrix. A scoring system was used for each parameter in different postmortem (PM) intervals. Results: Cases were classified into 3 groups (1-7, 8-14-, and 15-21-days PM). The examined histological parameters give statistically significant changes across the tested PM intervals. The correlation coefficient between the tested parameters and PM intervals gives significant results. The r-value was highest with the percentage of lacunae without chondrocytes and lowest with perichondrium loss (r = 0.62 and 0.35 respectively). Conclusion: Auricular cartilage showed remarkable changes that are correlated with PM interval in human. In the future, a large sample should be investigated with studying the impaction of environmental factors on these changes.
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