Cranio-maxillofacial injuries in Homer's Iliad.

INTRODUCTION: Homer's Iliad, being one of the oldest and greatest European epic poems, is divided into 24 "books" or "rhapsodies", in which war injuries in general, and in particular cranio-maxillofacial (CMF) injuries, are described in a unique and detailed manner. MATERIAL AND METHOD: Homer's Iliad, Loeb Classical Library, translated by A.T. Murray, and revised by W.F. Wyatt, Harvard University Press, 2nd ed., Cambridge, Massachusetts, 1999, as well as the modern Greek translation by I. Polylas of Homer's Iliad, Publishing Organization for Educational Material, 4th ed., Athens, 1975, was studied for descriptions of CMF injuries, aiming at the presentation of their total number, received area of the head and neck, outcome, cause of injuries, and the engaged warriors. RESULTS: Forty-eight references regarding CMF injuries are found in the 24 books of Homer's Iliad. Forty-four of the CMF injuries were fatal, among them five were decapitations. The causes of the CMF injuries were usually strokes with weapons, while other means such as rocks and stones were also used. In the aforementioned injuries the engaged striking warriors were 17 Greeks and four Trojans, while the fallen warriors were eight Greeks and 38 Trojans. CONCLUSIONS: One could get an idea about the practice of Medicine and particularly of Surgery, in the 10th century BC in Ancient Greece, through the epic poems of Homer. The unique description of CMF injuries leads us to the conclusion that the anatomy of the head and neck was quite well known in those very old times, since the heroes and warriors of the Iliad knew exactly where to strike to achieve a fatal outcome.

Cerebral abscess of odontogenic origin.

INTRODUCTION: Cerebral abscess is a rare but serious and life-threatening infection. Dental infections have occasionally been reported as the source of bacteria for such an abcess. PATIENT AND METHODS: A 54-year-old man was admitted with a right hemiparesis and epileptic fits. After clinical, laboratory and imaging examination, the diagnosis of a cerebral abscess of the left parietal lobe was made. The intraoral clinical examination as well as a panoramic radiograph confirmed the presence of generalized periodontal disease, multiple dental caries, and periapical pathology. The treatment included: (i) Immediate administration of high-dose intravenous antibiotics and (ii) surgical procedures consisting of craniotomy and resection of the abscess cavity first, and secondly removal of the periodontal, decayed and periapically involved teeth of the patient, in an effort to eradicate all the possible septic foci, presuming the cerebral abscess to be of odontogenic infection. RESULTS: The patient made an uneventful recovery, and 29 months postoperatively he had completely recovered from the hemiparesis.

Cranio-maxillofacial surgery in Corpus Hippocraticum.

INTRODUCTION: Knowledge of the medical thoughts and practice through the ages constitutes a particular qualification for every practicing physician and surgeon, in order to become a participant of Medicine's continuity and a conscientious practitioner. Cranio-Maxillofacial Surgery constitutes a significant part of the surgical writings of Corpus Hippocraticum. MATERIAL AND METHOD: The original texts of the Hippocratic Collection written in ancient Greek, as they were published along with a translation into modern Greek in G. Pournaropoulos 'Hippocrates' Works', (edited by A. Martinos), Athens 1968, were studied for any account referring to Oral and Maxillofacial Surgery. RESULTS: The medical views and opinions of Hippocrates regarding Cranio-Maxillofacial Surgery and Pathology in particular, as well as Dental Medicine in general, are disseminated in the various books of Corpus Hippocraticum, and although they are almost 3000 years old, they are still in line with current thinking to a great extent. The scope of Hippocratic perspicacity and experience regarding Oral and Cranio-Maxillofacial Surgery includes dentoalveolar surgery, orofacial infections, maxillofacial trauma, dentofacial abnormalities and orthognathic surgery, as well as cranio-maxillofacial injuries. CONCLUSION: Corpus Hippocraticum in spite of time remains a unique and unrivalled work, where one can realize the power of observation, sagacity and the clinical judgement of Hippocrates regarding every aspect of Medicine, and in particular Cranio-Maxillofacial Surgery.