"Jonathan L. Arden, president of the National Association of Medical Examiners, said a hyoid can be broken in many circumstances, but is more commonly associated with homicidal strangulation than suicidal hanging." Source from the Washington Post "An autopsy found that financier Jeffrey Epstein sustained multiple breaks in his neck bones, according to two people familiar with the findings, deepening the mystery about the circumstances around his death. Among the bones broken in Epstein’s neck was the hyoid bone, which in men is near the Adam’s apple. Such breaks can occur in those who hang themselves, particularly if they are older, according to forensics experts and studies on the subject. But they are more common in victims of homicide by strangulation, the experts said. The details are the first findings to emerge from the autopsy of Epstein, a convicted sex offender and multimillionaire in federal custody on charges of sex trafficking. He died early Saturday morning after guards found him hanging in his cell at the Metropolitan Correctional Center in Manhattan and he could not be revived..."