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October 24, 1908


JAMA. 1908;LI(17):1425. doi:10.1001/jama.1908.25410170041002d

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Most authorities state that the hyoid bone at times may be fractured by hanging or other forms of strangling. A case of primary acute periostitis, followed by abscess, incision and recovery, has been reported by Stetter. Ullman reports a case of caries of the hyoid with subsequent fistula in a man 40 years of age. The fistula remained after incision of a small abscess on the right side of the neck four years previously. In this case the necrotic portion of the bone was resected.

Fracture of this bone is peculiarly dangerous, and, in many instances, death has followed the complications. The ecchymosis may cause great difficulty in swallowing, talking or breathing. From its protected position the bone is seldom affected by external violence.

Inflammation of the bone may be the result of external violence or constitutional disease and usually begins as a periostitis with localized pain, swelling, dysphagia and

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