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Trepanation in the
Archaeological Record
   Karrah Christenson
    7 September 2012
        Session 8
Skeletal Pathologies
• The most common pathology to affect
  skeletal remains is degenerative change
• The second most common pathology is
  trauma
• 3 types of trauma
  – Fracturing & dislocating bone
  – Disrupting blood or nerve supply to the bone
  – Artificial deformation
Artificial Deformations
• Artificial deformation
  is a result of cultural
  practices
• Most artificial
  deformations are
  manifest in the cranium
  – These include :
     • Wrapping the crania of
       infants
     • Applying pressure to the
       cranium to deform the
       cranial vault
     • And trepanation
Trepanation
Trepanation is a practice in which an
artificial hole is made in the cranial vault
of a living person (Folkens & White 2005)

Ortner and Putschar (1981) say
trepanation is perhaps the most
remarkable pathology seen by the
pathologist.
History of Trepanation
• Written accounts reveal that
  ancient Greeks practiced
  trepanation
• Archaeological records show
  that the practice goes deeper
  into the past appearing in
  Europe, the Pacific, North and
  South America, Africa, and
  Asia
• Oldest surgical procedure for
  which archaeological evidence
  has been found
Common Methodologies
-scraping
        a patch of
bone away

-cutting a patch of bone
out by making grooves
through the vault

-drilling small holes
around the plug of bone
to be removed
Why Practice Trepanation?
• Thought to be done in order to relieve
  intracranial pressure being caused by
  injuries/ compressive fractures of the skull
  vault
• Relieve common headaches
• Cure mental illnesses
• Let out evil spirits
• As a sign of social status- supernatural
  powers
Success Rate?
• Survival rate of those
  practicing trepanation was
  rather high
• This is evident in the
  number of healed
  trepanations found in the
  archaeological record
• Sometimes bone
  completely regenerates


                                Trepanation from 5100 BC
                               demonstrating post-operative
                                         healing
Trepanations in Menorca?
• Excavations at La Cova des Cárritx revealed a
  necropolis with collective inhumations
• Three examples of trepanation were found at the
  site, including 1 juvenile and 2 adult individuals
• Because the individuals show no other trauma/
  pathologies for a necessary trepanation, its been
  suggested that the operations were done as part of a
  magic ritual- perhaps these were high status individuals
  with supernatural powers
• The remains from this Menorcan cave can be seen in the
  Ciutadella Municipal Museum
Our Current Findings at Binimel là

• During this session’s excavations at the
  prehistoric Talaiotic cave, a portion of frontal
  bone was found with evidence of trepanation
• The bone appears to show partial
  regeneration- meaning the individual survived
  for some time after the trepanation was
  completed
What does our find mean?
• First case of trepanation
  found at this site
• Reveals that the practice
  was occurring in
  prehistoric Talaiotic
  culture around the island
• The wound was partially
  healed – would have
  been of significant size in
  a prominent location
Modern
Trepanation
Sources
• The Human Bone Manual. Tim D. White
  and Pieter A. Folkens 2005
• Arqueologia Menorca. Los tres Cráneos
  de la Cova des Càrrtix, tres ejemplos de
  trepanacion prehistorica
• Rituales de Vida y Muerte en la Prehistoria
  de Menorca: La Cova de Càrrtix. Vincente
  Lull

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Trepanation Presentation by Karrah Christenson Session 8 2012

  • 1. Trepanation in the Archaeological Record Karrah Christenson 7 September 2012 Session 8
  • 2. Skeletal Pathologies • The most common pathology to affect skeletal remains is degenerative change • The second most common pathology is trauma • 3 types of trauma – Fracturing & dislocating bone – Disrupting blood or nerve supply to the bone – Artificial deformation
  • 3. Artificial Deformations • Artificial deformation is a result of cultural practices • Most artificial deformations are manifest in the cranium – These include : • Wrapping the crania of infants • Applying pressure to the cranium to deform the cranial vault • And trepanation
  • 4. Trepanation Trepanation is a practice in which an artificial hole is made in the cranial vault of a living person (Folkens & White 2005) Ortner and Putschar (1981) say trepanation is perhaps the most remarkable pathology seen by the pathologist.
  • 5. History of Trepanation • Written accounts reveal that ancient Greeks practiced trepanation • Archaeological records show that the practice goes deeper into the past appearing in Europe, the Pacific, North and South America, Africa, and Asia • Oldest surgical procedure for which archaeological evidence has been found
  • 6. Common Methodologies -scraping a patch of bone away -cutting a patch of bone out by making grooves through the vault -drilling small holes around the plug of bone to be removed
  • 7.
  • 8.
  • 9. Why Practice Trepanation? • Thought to be done in order to relieve intracranial pressure being caused by injuries/ compressive fractures of the skull vault • Relieve common headaches • Cure mental illnesses • Let out evil spirits • As a sign of social status- supernatural powers
  • 10. Success Rate? • Survival rate of those practicing trepanation was rather high • This is evident in the number of healed trepanations found in the archaeological record • Sometimes bone completely regenerates Trepanation from 5100 BC demonstrating post-operative healing
  • 11. Trepanations in Menorca? • Excavations at La Cova des Cárritx revealed a necropolis with collective inhumations • Three examples of trepanation were found at the site, including 1 juvenile and 2 adult individuals • Because the individuals show no other trauma/ pathologies for a necessary trepanation, its been suggested that the operations were done as part of a magic ritual- perhaps these were high status individuals with supernatural powers • The remains from this Menorcan cave can be seen in the Ciutadella Municipal Museum
  • 12.
  • 13.
  • 14. Our Current Findings at Binimel là • During this session’s excavations at the prehistoric Talaiotic cave, a portion of frontal bone was found with evidence of trepanation • The bone appears to show partial regeneration- meaning the individual survived for some time after the trepanation was completed
  • 15.
  • 16. What does our find mean? • First case of trepanation found at this site • Reveals that the practice was occurring in prehistoric Talaiotic culture around the island • The wound was partially healed – would have been of significant size in a prominent location
  • 18. Sources • The Human Bone Manual. Tim D. White and Pieter A. Folkens 2005 • Arqueologia Menorca. Los tres Cráneos de la Cova des Càrrtix, tres ejemplos de trepanacion prehistorica • Rituales de Vida y Muerte en la Prehistoria de Menorca: La Cova de Càrrtix. Vincente Lull