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- Mortes por Asfixias com Alimentos em Crianças: Aspectos Médico Legais da Sufocação Direta por EngasgamentoPublication . Durão, C; Durão, D; Pedrosa, FThe asphyxia by suffocation (choking) with foreign bodies are dramatic. Among these, the choking with food are responsible for most of these deaths. Children under four years old are particularly vulnerable due to not having a well-developed posterior dentition. The paper presents the report of two cases of suffocation with food and discusses some legal medical concepts, warning of the further prevention of such cases.