Thomaidis Vasilios, Tsoucalas Gregory, Fiska Aliki
Department of Anatomy, Medical School Democritus University of Thrace, Alexandroupolis, Greece.
Acta Med Acad. 2018 May;47(1):139-143. doi: 10.5644/ama2006-124.224.
Mandibular dislocation remains an acute medical condition in maxillofacial surgery. Since the Hippocratic era its reduction has been performed exactly in the same way it is now performed in modern surgery. We report an example of an elderly female patient with bilateral mandibular dislocation, who came to our department and was treated under sedation using the Hippocratic bimanual intraoral technique by two medical personnel, depicting the timeless usage of the method. Although some characteristics of the procedure were wrongfully attributed to others, such as Barton and Lewis, after a thorough examination of the ancient Greek medical texts, its originality should in fact be attributed solely to the Hippocratic School of Medicine. Furthermore, we recommend the use of the term "mandibular dislocation" instead of the "temporomandibular joint dislocation", as a more accurate medical definition.
下颌关节脱位在颌面外科领域仍然是一种急性病症。自希波克拉底时代起，其复位方法就与现代外科手术中所采用的方法完全相同。我们报告了一例老年女性双侧下颌关节脱位患者，她前来我科就诊，由两名医务人员采用希波克拉底双手口内技术在镇静状态下进行治疗，展现了该方法经久不衰的实用性。尽管该手术的某些特点曾被错误地归功于其他人，如巴顿和刘易斯，但在对古希腊医学文献进行全面研究后，其原创性实际上应完全归功于希波克拉底医学院。此外，我们建议使用“下颌关节脱位”这一术语，而非“颞下颌关节脱位”，因为它是更准确的医学定义。
