Chewy
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Three overlapped pieces of duct tape were still stuck together, and both ends were still stuck to Caylee's hair. They had to cut the hair to free the duct tape. The ME concluded that the duct tape had been applied prior to decomposition and that is what had held the mandible in place--which is not what usually happens when a skull decomposes, the mandible normally falls away. Hence, there was duct tape over Caylee's face. A single piece would have been enough to cover the nose and mouth, if it were applied in the right place. Three overlapped pieces would definitely block a toddler's airways. If the pieces had not been stuck in the hair, the duct tape and the mandible would have fallen away as the head decomposed (sorry for image).
Duct tape has been used before to smother people, including children. (I can hunt up some links if you wish.) There was also chloroform present in this case, which may or may not have contributed. Chloroform was originally used to anesthetize children for medical procedures, but it fell out of favor because too many children died. It's possible Caylee died of chloroform before suffocating from duct tape, and we can never know that.
However, I don't need to know the exact cause of death to know this was a homicide, and neither did the ME. The tape applied to a toddler's face is enough.
It was a homicide but I don't think she suffocated her with duct tape. Again I can't see any evidence to prove it as cause of death. Unless it is proven that duct tape applied within hours after death will not hold the mandible in place the same way, I really can't see how anyone can suggest that it was put there prior to death.