Q53. A 28-year-old female is brought dead to the emergency department. On postmortem examination, there is bruising below the angle of mandible over the front and sides of the neck, particularly over the thyroid cartilage. The neck dissection reveals subcutaneous hemorrhage, fracture of the superior horn of the thyroid cartilage. There is a laceration of the inner aspect of the lower lip and linear scratch abrasions over the upper back and shoulders. A scalp contusion is also noted on the right parietal region. Based on the injury pattern, what is the most likely cause of death?