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8 Little Known Facts About the Temple

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The human body is an amazing thing. For each one of us, it’s the most intimate object we know. And yet most of us don’t know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

 

At the edges of the eyebrows, you’ll find the temple, the flat, tender side of the head where you often press your fingers to relieve a headache. In movies, one karate chop to this area can allegedly kill a person, but is this really true? What lies beneath that smooth surface of skin that’s so delicate? To learn more, Mental Floss spoke to Dr. Abbas Anwar, an otolaryngologist and head and neck surgeon at Southern California Head and Neck Medical Group in Santa Monica.

1. THE TEMPLE IS A JUNCTURE.

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It's technically where four skull bones—the frontal, parietal, temporal, and sphenoid—meet in the skull. This vulnerable juncture is called the pterion, which means "wing" in Greek but sounds like a kind of dinosaur.

2. IT REVEALS A DISTANT LINK TO REPTILES.

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The temporal bone itself is made up of five smaller parts, which fuse together before birth. One of these pieces, called the tympanic part, may be evolutionarily linked to the angular bone in the lower jaws of reptiles.

3. IT'S THE THINNEST PART OF THE SKULL …

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While these skull bones are "relatively strong," though thin, Anwar tells Mental Floss, the point at which they meet is the weakest point because there's no solid bone beneath them. "As such, this area is at risk with direct horizontal blows."

4. … WHICH IS WHY MAORI WARRIORS CRAFTED A SPECIAL WEAPON TO CRUSH IT.

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Australian Museum, Wikimedia Commons // CC BY-SA 3.0

When Maori warriors of the first nations tribes of New Zealand and Australia went into battle, one weapon they took with them was the patu onewa, a flat, heavy club carved from stones such as basalt, and sometimes jade, for the specific purpose of delivering a fatal, crushing blow to the temple.

5. THE TEMPLE COVERS A MAJOR ARTERY.

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Running below these bones is a large artery known as the middle meningeal artery. It supplies blood to the outer covering of the brain, the meninges. "If hit hard enough, one of the four bones at this point can fracture inward and lacerate the middle meningeal artery," Anwar explains. This can cause an epidural hematoma, essentially "a collection of blood that builds up around the brain and compresses it."

Severe bleeding can cause "catastrophic consequences" if not recognized and treated promptly, including brain herniation (bulging brain tissue), hemiparesis (weakness of one side of the body), and death.

6. IS YOUR TEMPLE A SACRED SPACE?

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Etymologists don't entirely agree on the meaning of the word temple, which has multiple origins. It may derive from the Latin word for time, tempus, according to a Dartmouth Medical School anatomy course: "The connection may be that with the passage of time, grey hairs appear here early on. Or it may relate to the pulsations of the underlying superficial temporal artery, marking the time we have left here."

It could also possibly hail from the Greek word temenos, meaning "place cut off," which would explain the idea of a temple of worship as well as that juncture of bones at the side of the head. 

In Old English, tempel meant "any place regarded as occupied by divine presence," which might be code for the brain as the residence of consciousness or God.

More likely it's related to the Greek pterion, which as you'll recall means "wing." In Greek mythology, Hermes, messenger of the gods, wore a helmet with wings, which were positioned over the temples.  

7. IT'S PRONE TO SKIN CANCER THAT'S HARD TO REMOVE.

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Surgeon Gabriel Weston writes in The Guardian that skin cancers frequently turn up in this area from over exposure to the Sun, which makes for a challenging surgical procedure. "It is often not possible simply to sew up the hole in the skin after cutting a cancer out, since doing so can easily distort the contour of the eye," he writes.

To get around the problem, Weston uses a special technique called a Wolfe graft. After cutting away the cancerous lesion, "I measure out a circle of equal size in the skin above the collar-bone (where the skin is similar) and remove it." He grafts this skin patch to the patient's temple "with tiny silk sutures." 

8. BRAIN FREEZE ISN'T IN YOUR BRAIN.

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Sometimes when you eat or drink something cold too quickly, you get brain freeze, which can feel like someone has taken knives to your temples. But the pain isn't actually in your brain at all, as brains have no pain receptors. While researchers haven't been able to determine a cause of what's technically called sphenopalatine ganglioneuralgia, or sometimes HICS ("headache attributed to ingestion or inhalation of a cold stimulus"), they theorize that the painful freeze you experience is likely caused by a quick cooling of the blood in the back of your throat at the juncture your internal carotid and anterior cerebral arteries, which can cause spasms or constrictions of the arterial branches.

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The Body
6 Quick Facts About the Buttocks
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The human body is an amazing thing. For each one of us, it's the most intimate object we know. And yet most of us don't know enough about it: its features, functions, quirks, and mysteries. Our series The Body explores human anatomy, part by part. Think of it as a mini digital encyclopedia with a dose of wow.

You can thank your buttocks for a number of physical actions you take every day, from moving your hip and thigh during walking or running, to rising from a sitting position, climbing, and even just standing upright. While lack of exercise can make these muscles soft, in general they're some of the hardest working muscles in your body. To learn more, Mental Floss spoke with Clifford Stark, medical director of Sports Medicine at Chelsea in New York City, and Vivian Eisenstadt, an orthopedic and spine specialist in physical therapy in Los Angeles. Here are six quick facts we picked up about the glutes.

1. WHEN IT COMES TO THE BOOTY, BIGGER MIGHT BE BETTER.

Your glutes are your body's largest and most powerful muscle group, Stark tells Mental Floss. Your powerful buttocks are actually comprised of three gluteal muscles: the gluteus maximus, gluteus medius, and gluteus minimus, often shorthanded to "the glutes."

"They are extremely important in preventing all sorts of injuries," Stark adds. Many injuries, from hips to knee, stem from weak gluteal muscles. It's important to keep your glutes strong—but not tight.

2. IF YOU'RE NOT BORN WITH IT, YOU CAN PAY FOR IT.

In 2016, 4251 people in the U.S. got a butt lift, and another 2999 got butt implants, according to the American Society of Plastic Surgeons' 2016 Report [PDF]. These numbers make sense, because according to the professional organization, butt implants were the fastest growing type of plastic surgery in 2015. Yet while butt surgery may be increasingly popular, it still hasn't cracked the top 5 of cosmetic surgical procedures (breast augmentation, liposuction, nose reshaping, eyelid surgery, and facelift, in that order).

3. WHY DO WE CALL A BARE BUTT A "FULL MOON"?

In the Ming dynasty in China, bare buttocks were seen as quite erotic and they were often compared to a full moon, perhaps because of their pert roundness.

4. VICTORIANS WERE REALLY INTO EROTIC SPANKING.

While spanking has been proven bad for kids, it may be good for your sex life. Victorians were particularly obsessed with "erotic spanking." According to Deborah Lutz, author of Pleasure Bound: Victorian Sex Rebels and the New Eroticism, "something like 50 percent of the pornography of the time was flagellation pornography," she told Salon. One prevailing theory suggests that the practice has its roots in the upper-class men who as children had attended private schools, where a common punishment was to be whipped in front of their classmates with birch switches. "Any schoolboys who wanted to could come and watch. For many of these boys, of course, it was traumatic, but for other boys it's an erotic experience. It developed into this masochistic eroticism," Lutz said.

5. BACK PAIN MAY ORIGINATE IN YOUR BUTTOCKS.

"A little-known fact is that strengthening your buttocks helps decrease back pain," Eisenstadt tells Mental Floss. "While physical and occupational therapists know this, many people are not aware and increase risk of injury by neglecting this important muscle." In her practice, when people come in complaining of back pain, she checks out their butts first.

6. A SMALL NUMBER OF PEOPLE HAVE THIS UNUSUAL POSITIONING OF THE SCIATIC NERVE.

"Sciatica is a laymen's term for pain down the leg," says Stark. The sciatic nerve typically lies right on top of the piriformis muscle, a small muscle that lives deep in the buttock, behind the gluteus maximus. For a certain percentage of the population, however, he says, the sciatic nerve sometimes pierces right through the muscle. Those people are especially prone to sciatic pain, he says: "All it takes is a spasm to cut off that nerve."

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This Soft Artificial Heart May One Day Shorten the Heart Transplant List
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ETH Zurich

If the heart in the Functional Materials Laboratory at ETH Zurich University were in a patient in an operating room, its vital signs would not be good. In fact, it would be in heart failure. Thankfully, it's not in a patient—and it's not even real. This heart is made of silicone.

Suspended in a metal frame and connected by tubes to trays of water standing in for blood, the silicone heart pumps water at a beat per second—a serious athlete's resting heart rate—in an approximation of the circulatory system. One valve is leaking, dripping onto the grate below, and the water bins are jerry-rigged with duct tape. If left to finish out its life to the final heartbeat, it would last for about 3000 beats before it ruptured. That's about 30 minutes—not long enough to finish an episode of Grey's Anatomy

Nicolas Cohrs, a bioengineering Ph.D. student from the university, admits that the artificial heart is usually in better shape. The one he holds in his hands—identical to the first—feels like taut but pliable muscle, and is intact and dry. He'd hoped to demonstrate a new and improved version of the heart, but that one is temporarily lost, likely hiding in a box somewhere at the airport in Tallinn, Estonia, where the researchers recently attended a symposium.

Taking place over the past three years, the experimental research is a part of Zurich Heart, a project involving 17 researchers from multiple institutions, including ETH, the University of Zurich, University Hospital of Zurich, and the German Heart Institute in Berlin, which has the largest artificial heart program in Europe.

A BRIDGE TO TRANSPLANT—OR TO DEATH

Heart failure occurs when the heart cannot pump enough blood and oxygen to support the organs; common causes are coronary heart disease, high blood pressure, and diabetes. It's a global pandemic, threatening 26 million people worldwide every year. More than a quarter of them are in the U.S. alone, and the numbers are rising.

It's a life-threatening disease, but depending on the severity of the condition at the time of diagnosis, it's not necessarily an immediate death sentence. About half of the people in the U.S. diagnosed with the disease die within five years. Right now in the U.S., there are nearly 4000 people on the national heart transplant list, but they're a select few; it's estimated that upwards of 100,000 people need a new heart. Worldwide, demand for a new heart greatly outpaces supply, and many people die waiting for one.

That's why Cohrs, co-researcher Anastasios Petrou, and their colleagues are attempting to create an artificial heart modeled after each patient's own heart that would, ideally, last for the rest of a person's life.

Mechanical assistance devices for failing hearts exist, but they have serious limitations. Doctors treating heart failure have two options: a pump placed next to the heart, generally on the left side, that pumps the blood for the heart (what's known as a left ventricular assist device, or LVAD), or a total artificial heart (TAH). There have been a few total artificial hearts over the years, and at least four others are in development right now in Europe and the U.S. But only one currently has FDA approval and CE marking (allowing its use in European Union countries): the SynCardia total artificial heart. It debuted in the early '90s, and since has been implanted in nearly 1600 people worldwide.

While all implants come with side effects, especially when the immune system grows hostile toward a foreign object in the body, a common problem with existing total artificial hearts is that they're composed of hard materials, which can cause blood to clot. Such clots can lead to thrombosis and strokes, so anyone with an artificial heart has to take anticoagulants. In fact, Cohrs tells Mental Floss, patients with some sort of artificial heart implant—either a LVAD or a TAH—die more frequently from a stroke or an infection than they do from the heart condition that led to the implant. Neurological damage and equipment breakdown are risky side effects as well.

These complications mean that total artificial hearts are "bridges"—either to a new heart, or to death. They're designed to extend the life of a critically ill patient long enough to get on (or to the top of) the heart transplant list, or, if they're not a candidate for transplant, to make the last few years of a person's life more functional. A Turkish patient currently holds the record for the longest time living with a SynCardia artificial heart: The implant has been in his chest for five years. Most TAH patients live at least one year, but survival rates drop off after that.

The ETH team set out to make an artificial heart that would be not a bridge, but a true replacement. "When we heard about these problems, we thought about how we can make an artificial heart that doesn't have side effects," he recalls.

USING AN ANCIENT TECHNIQUE TO MAKE A MODERN MARVEL

Using common computer assisted design (CAD) software, they designed an ersatz organ composed of soft material that hews closely to the composition, form, and function of the human heart. "Our working hypothesis is that when you have such a device which mimics the human heart in function and form, you will have less side effects," Cohrs says.

To create a heart, "we take a CT scan of a patient, then put it into a computer file and design the artificial heart around it in close resemblance to the patient's heart, so it always fits inside [the body]," Cohrs says.

But though it's modeled on a patient's heart and looks eerily like one, it's not identical to the real organ. For one thing, it can't move on its own, so the team had to make some modifications. They omitted the upper chambers, called atria, which collect and store blood, but included the lower chambers, called ventricles, which pump blood. In a real heart, the left and right sides are separated by the septum. Here, the team replaced the septum with an expansion chamber that is inflated and deflated with pressurized air. This action mimics heart muscle contractions that push blood from the heart.

The next step was to 3D-print a negative mold of the heart in ABS, a thermoplastic commonly used in 3D printing. It takes about 40 hours on the older-model 3D printers they have in the lab. They then filled this mold with the "heart" material—initially silicone—and let it cure for 36 hours, first at room temperature and then in an oven kept at a low temperature (about 150°F). The next day, they bathed it in a solvent of acetone, which dissolved the mold but left the printed heart alone. This process is essentially lost-wax casting, a technique used virtually unchanged for the past 4000 years to make metal objects, especially bronze. It takes about four days.

The resulting soft heart weighs about 13 ounces—about one-third more than an average adult heart (about 10 ounces). If implanted in a body, it would be sutured to the valves, arteries, and veins that bring blood through the body. Like existing ventricular assist devices and total artificial hearts on the market, it would be powered by a portable pneumatic driver worn externally by the patient.

FROM 3000 TO 1 MILLION HEARTBEATS

In April 2016, they did a feasibility test to see if their silicone organ could pump blood like a real heart. First they incorporated state-of-the-art artificial valves used every day in heart surgeries around the world. These would direct the flow of blood. Then, collaborating with a team of mechanical engineers from ETH, they placed the heart in a hybrid mock circulation machine, which measures and simulates the human cardiovascular system. "You can really measure the relevant data without having to put your heart into an animal," says Cohrs.

Here's what the test looked like.

"Our results were very nice," Cohrs says. "When you look at the pressure waveform in the aorta, it really looked like the pressure waveform from the human heart, so that blood flow is very comparable to the blood flow from a real human heart."

Their results were published earlier this year in the journal Artificial Organs.

But less promising was the number of heartbeats the heart lasted before rupturing under stress. (On repeated tests, the heart always ruptured in the same place: a weak point between the expansion chamber and the left ventricle where the membrane was apparently too thin.) With the average human heart beating 2.5 billion times in a lifetime, 3000 heartbeats wouldn't get a patient far.

But they're making progress. Since then, they've switched the heart material from silicone to a high-tech polymer. The latest version of the heart—one of which was stuck in that box in the Tallinn airport—lasts for 1 million heartbeats. That's an exponential increase from 3000—but it's still only about 10 days' worth of life.

Right now, the heart costs around $400 USD to produce, "but when you want to do it under conditions where you can manufacture a device where it can be implanted into a body, it will be much more expensive," Cohrs says.

The researchers know they're far from having produced an implantable TAH; this soft heart represents a new concept for future artificial heart development that could one day lead to transplant centers using widely available, easy-to-use design software and commercially available 3D-printers to create a personalized heart for each patient. This kind of artificial heart would be not a bridge to transplantation or, in a few short years, death, but one that would take a person through many years of life.

"My personal goal is to have an artificial heart where you don't have side effects and you don't have any heart problems anymore, so it would last pretty much forever," Cohrs says. Well, perhaps not forever: "An artificial heart valve last 15 years at the moment. Maybe something like that."

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