The first description of cholesteatoma by Hippocrate.

Eur Arch Otorhinolaryngol

Section of Medical and Forensic Anthropology (UVSQ/EA4498 DANTE Laboratory), UFR of Health Sciences, 2 Avenue de la Source de la Bièvre, 78180, Montigny-Le-Bretonneux, France.

Published: June 2020

AI Article Synopsis

  • Otolaryngology, a medical subspecialty focusing on ear, nose, and throat (ENT) issues, has its roots traced back over 3000 years, with significant writings by Hippocrates detailing ear diseases.
  • Analysis of a specific extract from Hippocrates' work reveals the earliest known case of cholesteatoma, illustrating complex symptoms including facial palsy and neuro-meningitis.
  • The study emphasizes the historical significance of ancient observations in understanding medical conditions, particularly in otorhinolaryngology, and highlights the longstanding impact of ENT diseases on human health.

Article Abstract

Introduction: Although otolaryngology became a subspecialty only since the middle of the nineteenth century, many diseases of ENT system, their clinical symptoms, universality and potential seriousness have been described since over 3000 years ago. Texts of the medical school of Cos and its founder Hippocrates (460-370 BC) collected in the Corpus Hippocraticum also contain multiple case reports and treatments for ear diseases. The aim of this study is to analyse an extract of one of Hippocrates' treatise, which apparently describes the first case of cholesteotoma.

Material And Methods: We analysed a case from Epidemic by Hippocrates (VII, V, 1-9) from its English translation.

Results: Analysis of the description of symptoms allows us to diagnose a complicated cholesteatoma with facial palsy and neuro-meningitis manifestation.

Conclusion: The meticulously detailed observations of the corpus give us a precious insight into the early perception of diseases and their evolution. The study of its history is of high interest to the fields of medicine, especially otorhinolaryngology. It also highlights the diseases and the suffering the diseases have inflicted on mankind since antiquity.

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Source
http://dx.doi.org/10.1007/s00405-020-05899-8DOI Listing

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