section_path: Death/Autopsy
section_name: Autopsy
paragraph_text: Autopsy
  
  On August 11, 2019, an autopsy was performed. It appeared likely that Epstein had thrown himself violently off the cell's top bunk, which would explain the damage he suffered, other than strangulation. The preliminary result of the autopsy found that Epstein sustained multiple breaks in his neck bones. Among the bones broken in Epstein's neck was the hyoid bone. Such breaks of the hyoid bone can occur from those who hang themselves from some substantial height, e.g. jumping from a chair into the rope, but they are more common in victims of homicide by strangulation. A 2010 study found broken hyoids in twenty-five percent of cases of hangings. A larger study conducted from 2010 to 2016 found hyoid damage in just 16 of 264, or six percent, of cases of hangings. Hyoid bone breaks become more common with age, as the bones become more brittle. Forensic pathologist Cyril Wecht noted that hanging by leaning forward would not result in broken cervical bones.
  
  On August 16, 2019, Barbara Sampson, the New York City medical examiner, ruled Epstein's death a suicide by hanging. The medical examiner, according to Epstein's defense counsel, only saw nine minutes of footage from one security camera to help her arrive at her conclusion. Epstein's defense lawyers were not satisfied with the conclusion of the medical examiner and were conducting their own independent investigation into the cause of Epstein's death, including taking legal action, if necessary, to view the pivotal camera footage near his cell during the night of his death. Epstein's lawyers said that the evidence concerning Epstein's death was "far more consistent" with murder than suicide. Michael Baden, an independent pathologist hired by the Epstein estate, observed the autopsy. In October 2019, Baden said that Epstein had experienced a number of injuries—among them a broken bone in his neck—that "are extremely unusual in suicidal hangings and could occur much more commonly in homicidal strangulation". Baden stated that he thinks that the evidence points to homicide rather than suicide.
  
  On August 11, 2019, an autopsy was performed. It appeared likely that Epstein had thrown himself violently off the cell's top bunk, which would explain the damage he suffered, other than strangulation. The preliminary result of the autopsy found that Epstein sustained multiple breaks in his neck bones. Among the bones broken in Epstein's neck was the hyoid bone. Such breaks of the hyoid bone can occur from those who hang themselves from some substantial height, e.g. jumping from a chair into the rope, but they are more common in victims of homicide by strangulation. A 2010 study found broken hyoids in twenty-five percent of cases of hangings. A larger study conducted from 2010 to 2016 found hyoid damage in just 16 of 264, or six percent, of cases of hangings. Hyoid bone breaks become more common with age, as the bones become more brittle. Forensic pathologist Cyril Wecht noted that hanging by leaning forward would not result in broken cervical bones.
  
  On August 16, 2019, Barbara Sampson, the New York City medical examiner, ruled Epstein's death a suicide by hanging. The medical examiner, according to Epstein's defense counsel, only saw nine minutes of footage from one security camera to help her arrive at her conclusion. Epstein's defense lawyers were not satisfied with the conclusion of the medical examiner and were conducting their own independent investigation into the cause of Epstein's death, including taking legal action, if necessary, to view the pivotal camera footage near his cell during the night of his death. Epstein's lawyers said that the evidence concerning Epstein's death was "far more consistent" with murder than suicide. Michael Baden, an independent pathologist hired by the Epstein estate, observed the autopsy. In October 2019, Baden said that Epstein had experienced a number of injuries—among them a broken bone in his neck—that "are extremely unusual in suicidal hangings and could occur much more commonly in homicidal strangulation". Baden stated that he thinks that the evidence points to homicide rather than suicide.