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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.

maori stone club
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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Pierluigi Luceri, Flickr // CC BY-NC-ND 2.0
Two Human Toes Were Stolen From an Anatomy Exhibit
Pierluigi Luceri, Flickr // CC BY-NC-ND 2.0
Pierluigi Luceri, Flickr // CC BY-NC-ND 2.0

A 28-year-old New Zealand man walked into an anatomy exhibition with 10 toes and walked out with 12. We don't know why or how he did it, but the man stole two human toes from a Body Worlds display in Auckland last month, The New Zealand Herald reports.

The unnamed man appeared in court Monday and pleaded guilty to improperly interfering with the corpse "of an unknown person" and purloining two toes, which alone are valued at about $3800. The motivation for the human remains heist wasn't stated. (Fulfilling a dare seems a likely explanation, or maybe he's just a fan of The Big Lebowski.)

Whatever the reason may be, the story has a happy ending, at least: The digits have since been returned to their rightful place in the "Vital" exhibit, which explores the human body in motion. "Vital," which will remain open in Auckland until July 13, is one of several traveling exhibitions curated by Body Worlds. Two other Body Worlds exhibits are currently on view in the U.S., including "RX" (showcasing the effects of disease) in Toledo, Ohio, and "Animal Inside Out" (an "anatomical safari") in Richmond, Virginia.

The bodies, all of which are donated for exhibition purposes, are preserved via plastination, a process that "replaces bodily fluids and soluble fat in specimens with fluid plastics that harden after vacuum-forced impregnation," according to the Body Worlds website. More than 16,000 people around the world have signed up to donate their bodies after their deaths.

[h/t The New Zealand Herald]

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Illustration by Mental Floss / Images: iStock
11 Facts About the Appendix
Illustration by Mental Floss / Images: iStock
Illustration by Mental Floss / Images: iStock

Despite some 500 years of study, the appendix might be one of the least understood structures in the human body. Here's what we know about this mysterious organ.

1. THE ANCIENT EGYPTIANS CALLED IT THE "WORM" OF THE BOWEL.

The human appendix is small, tube-shaped, and squishy, giving ancient Egyptians, who encountered it when preparing bodies for funerary rites, the impression of a worm. Even today, some medical texts refer to the organ as vermiform—Latin for "worm-like."

2. THE APPENDIX SHOWS UP IN LEONARDO DA VINCI’S DRAWINGS.

The earliest description of a human appendix was written by the Renaissance physician-anatomist Jacopo Berengario da Carpi in 1521. But before that, Leonardo da Vinci is believed to drawn the first depiction of the organ in his anatomical drawings in 1492. Leonardo claimed to have dissected 30 human corpses in his effort to understand the way the body worked from mechanical and physiological perspectives.

3. IT'S ABOUT THE SIZE OF A PINKY FINGER.

The appendix is a small pouch connected to the cecum—the beginning of the large intestine in the lower right-hand corner of your abdomen. The cecum’s job is to receive undigested food from the small intestine, absorb fluids and salts that remain after food is digested, and mix them with mucus for easier elimination; according to Mohamad Abouzeid, M.D., assistant professor and attending surgeon at NYU Langone Health, the cecum and appendix have similar tissue structures.

4. CHARLES DARWIN THOUGHT IT WAS A VESTIGIAL ORGAN …

The appendix has an ill-deserved reputation as a vestigial organ—meaning that it allegedly evolved without a detectable function—and we can blame Charles Darwin for that. In the mid-19th century, the appendix had been identified only in humans and great apes. Darwin thought that our earlier ancestors ate mostly plants, and thus needed a large cecum in which to break down the tough fibers. He hypothesized that over time, apes and humans evolved to eat a more varied and easier-to-digest diet, and the cecum shrank accordingly. The appendix itself, Darwin believed, emerged from the folds of the wizened cecum without its own special purpose.

5. … BUT THE APPENDIX PROBABLY EVOLVED TO HELP IMMUNE FUNCTION.

The proximity and tissue similarities between the cecum and appendix suggest that the latter plays a part in the digestive process. But there’s one noticeable difference in the appendix that you can see only under a microscope. “[The appendix] has a high concentration of the immune cells within its walls,” Abouzeid tells Mental Floss.

Recent research into the appendix's connection to the immune system has suggested a few theories. In a 2015 study in Nature Immunology, Australian researchers discovered that a type of immune cells called innate lymphoid cells (ILCs) proliferate in the appendix and seem to encourage the repopulation of symbiotic bacteria in the gut. This action may help the gut recover from infections, which tend to wipe out fluids, nutrients, and good bacteria.

For a 2013 study examining the evolutionary rationale for the appendix in mammal species, researchers at Midwestern University and Duke University Medical Center concluded that the organ evolved at least 32 times among different lineages, but not in response to dietary or environmental factors.

The same researchers analyzed 533 mammal species for a 2017 study and found that those with appendices had more lymphatic (immune) tissue in the cecum. That suggests that the nearby appendix could serve as "a secondary immune organ," the researchers said in a statement. "Lymphatic tissue can also stimulate growth of some types of beneficial gut bacteria, providing further evidence that the appendix may serve as a 'safe house' for helpful gut bacteria." This good bacteria may help to replenish healthy flora in the gut after infection or illness.

6. ABOUT 7 PERCENT OF AMERICANS WILL GET APPENDICITIS DURING THEIR LIFETIMES.

For such a tiny organ, the appendix gets infected easily. According to Abouzeid, appendicitis occurs when the appendix gets plugged by hardened feces (called a fecalith or appendicolith), too much mucus, or the buildup of immune cells after a viral or bacterial infection. In the United States, the lifetime risk of getting appendicitis is one in 15, and incidence in newly developed countries is rising. It's most common in young adults, and most dangerous in the elderly.

When infected, the appendix swells up as pus fills its interior cavity. It can grow several times larger than its average 3-inch size: One inflamed appendix removed from a British man in 2004 measured just over 8 inches, while another specimen, reported in 2007 in the Journal of Clinical Pathology, measured 8.6 inches. People with appendicitis might feel generalized pain around the bellybutton that localizes on the right side of the abdomen, and experience nausea or vomiting, fever, or body aches. Some people also get diarrhea.

7. APPENDECTOMIES ARE ALMOST 100 PERCENT EFFECTIVE FOR TREATING APPENDICITIS.

Treatment for appendicitis can go two ways: appendectomy, a.k.a. surgical removal of the appendix, or a first line of antibiotics to treat the underlying infection. Appendectomies are more than 99 percent effective against recurring infection, since the organ itself is removed. (There have been cases of "stump appendicitis," where an incompletely removed appendix becomes infected, which often require further surgery.)

Studies show that antibiotics produce about a 72 percent initial success rate. “However, if you follow these patients out for about a year, they often get recurrent appendicitis,” Abouzeid says. One 2017 study in the World Journal of Surgery followed 710 appendicitis patients for a year after antibiotic treatment and found a 26.5 percent recurrence rate for subsequent infections.

8. AN INFECTED APPENDIX DOESN’T ACTUALLY BURST.

You might imagine a ruptured appendix, known formally as a perforation, being akin to the "chestbuster" scene in Alien. Abouzeid says it's not quite that dramatic, though it can be dangerous. When the appendix gets clogged, pressure builds inside the cavity of the appendix, called the lumen. That chokes off blood supply to certain tissues. “The tissue dies off and falls apart, and you get perforation,” Abouzeid says. But rather than exploding, the organ leaks fluids that can infect other tissues.

A burst appendix is a medical emergency. Sometimes the body can contain the infection in an abscess, Abouzeid says, which may be identified through CT scans or X-rays and treated with IV antibiotics. But if the infection is left untreated, it can spread to other parts of the abdomen, a serious condition called peritonitis. At that point, the infection can become life-threatening.

9. SURGEONS CAN REMOVE AN APPENDIX THROUGH A TINY INCISION.

In 1894, Charles McBurney, a surgeon at New York's Roosevelt Hospital, popularized an open-cavity, muscle-splitting technique [PDF] to remove an infected appendix, which is now called an open appendectomy. Surgeons continued to use McBurney's method until the advent of laparoscopic surgery, a less invasive method in which the doctor makes small cuts in the patient's abdomen and threads a thin tube with a camera and surgical tools into the incisions. The appendix is removed through one of those incisions, which are usually less than an inch in length.

The first laparoscopic appendectomies were performed by German physician Kurt Semm in the early 1980s. Since then, laparoscopic appendectomies have become the standard treatment for uncomplicated appendicitis. For more serious infections, open appendectomies are still performed.

10. AN APPENDIX ONCE POSTPONED A ROYAL CORONATION.

When the future King Edward VII of Great Britain came down with appendicitis (or "perityphlitis," as it was called back then) in June 1902, mortality rates for the disease were as high as 26 percent. It was about two weeks before his scheduled coronation on June 26, 1902, and Edward resisted having an appendectomy, which was then a relatively new procedure. But surgeon and appendicitis expert Frederick Treves made clear that Edward would probably die without it. Treves drained Edward's infected abscess, without removing the organ, at Buckingham Palace; Edward recovered and was crowned on August 9, 1902.

11. THE WORLD'S LONGEST APPENDIX MEASURED MORE THAN 10 INCHES.

On August 26, 2006, during an autopsy at a Zagreb, Croatia hospital, surgeons obtained a 10.24-inch appendix from 72-year-old Safranco August. The deceased currently holds the Guinness World Record for "largest appendix removed."

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