Surgical Instruments in Greek and Roman TimesMilne, John Stewart
History
Surgical Instruments in Greek and Roman Times
Milne, John Stewart
Surgery -- History; Surgical instruments and apparatus
The form of cyathiscomele, in which the two lateral halves of the scoop
meet at an angle (Pl. XIV, fig. 1), has a tendency to split along the
ridge in the middle of the scoop if roughly handled. One of these, to
which this accident has happened, is in the Naples Museum (Pl. XV, fig. 3)
and has an interesting history. In 1847 Vulpes described it as a guard for
dividing the fraenum linguae, and successive writers have copied this ever
since, and it is so described in the catalogue. As the photograph shows,
it is only a spoon probe which had been trod on or otherwise damaged, and
which had split down the centre, or rather near the centre, for the crack
has deviated at its termination from the midline. The termination of the
notch thus formed has quite a different appearance from the figure by
Vulpes. The accident is not an uncommon one. There is in the Capitoline
Museum an instrument to which precisely the same has happened, and I have
a probe in my own possession which has split, and which with a little
manipulation would make a beautiful duplicate of the one in the Naples
Museum (Pl. XV, fig. 1). It is almost certain that the guard is quite a
modern invention.
Many ancient writers point out the danger of wounding the vein, but none
mention the guard. Thus Celsus says:
Horum extrema lingua vulsella prehendenda est, sub eaque membrana
incidenda: magna cura habita ne venae quae iuxta sunt violentur et
profusione sanguinis noceant (VII. xii).
Paul says:
'The patient is to be placed in a proper seat, the tongue is to be
raised to the roof of the mouth and the membranous fraenum cut
transversely. But if the curvature is occasioned by a cicatrix we
transfix the callus by a hook and draw it upwards, and making a cross
incision free the bent parts, taking care not to make deep incisions
of the parts, for haemorrhages, which have been found difficult to
stop, have thereby been occasioned' (VI. xxix).
Aetius gives a similar account.
These writers, then, all take note of the possibility of wounding the
vein, but give no clue that they knew of the utility of a cloven plate in
preventing the accident. Further, the Arabs, timid operators all and fond
of describing safeguards such as this, give no mention of it, although
Albucasis, Rhases, Avicenna, and Haly Abbas all describe the operation. I
can find no reference to the use of a guard for this purpose until quite
recent times.
_Ear specillum._
Greek, μηλωτίς, -ίδος, μηλωτρίς, ἀπυρομήλη, τῇ πυρῆνα μὴ ἐχούσῃ τούτεστι τῇ
μηλωτρίδι (Galen, Lexicon); ὠτογλυφίς, μήλην ἐξωτίδα (Galen, Lexicon);
Latin, _oricularium specillum_ (Celsus); _auriscalpium_ (Scrib. Largus);
German, _Ohrlöffel_.
Public-domain text, read in full here on John Shaqi.
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