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Computed tomography of the heads of ancient Egyptian mummies: a systematic review of the medical literature.

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Olszewski R., Hastir J.-P., Tilleux C., Delvaux L., Danse E.
Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery
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2020
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vol. 9
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issue 1
1-49
EN
Objective: To summarize the current knowledge on CT scanning of Egyptian mummy heads and faces and provide more valid methodology than that previously available. Material and methods: A systematic review was performed by one observer using two biomedical databases: PubMed and EMBASE. Inclusion and exclusion criteria were applied along with language restrictions. Finally, 2120 articles were found, 359 articles were duplicated among all search equations, 1454 articles were excluded, 307 articles were retained for full review, and 28 articles (31 mummies) were selected for the final study (PRISMA workflow). Results: The data were categorized into the following groups: 1) general information; 2) 1st author affiliation; 3) CT radiological protocol; 4) excerebration pathways; 5) soft tissue preservation; 6) dental status and displaced teeth; 7) packing of the mouth, ears, nose, and eyes, and 8) outer facial appearance. The evidence-based quality of the studies was low because only case reports and small case series were found. Discussion: The embalming art applied to a mummified head and face shows great variability across the whole span of Egyptian civilization. The differences among the various embalming techniques rely on multiple tiny details that are revealed by meticulous analysis of CT scans by a multidisciplinary team of experts. Conclusion: There is a need for more systematization of the CT radiological protocol and the description of Egyptian mumm’y heads and faces to better understand the details of embalming methods.  
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Medical and dental hidden treasures and secrets of 2700-year-old Egyptian mummy: Osirmose - the doorkeeper of the Temple of Re.

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Olszewski R., Hastir J.-P., Tilleux C., Delvaux L., Danse E.
Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery
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2021
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vol. 17
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issue 1
1-38
EN
Objective: To perform a ‘virtual autopsy’ on the Egyptian mummy and to study, understand, and interpret three-dimensional (3D) high-resolution computed tomography (CT) scan images of Osirmose’s mummy with a multidisciplinary team composed of radiologists, archaeologists, and oral and maxillofacial surgeon. Material and methods: We studied the Osirmose’s mummy, the doorkeeper of the Temple of Re, who lived during the XXVth dynasty. His mummy belongs to the Royal Museum of Art and History (Inv. E.5889). We performed a high resolution CT scanning of Osirmose’s mummy. We also 3D printed the upper maxilla of the mummy and a tooth found in the oesophagus with a clinically validated low-cost 3D printer. Results: We confirmed the male sex of the mummy. We found the heart, aorta, and  kidneys inside the mummy’s body. Brain excerebration was performed through the right ethmoid bone pathway. A wood stick embedded in the dura mater tissue was found inside the skull. The orbicularis oculi muscle, internal canthus, optical nerves, and calcified eye were still present. Artificial eyes were added above the stuffing of eye globes. The skull and face were embalmed with multiple layers of inner bandages in a sophisticated manner. The wear of maxillary teeth was asymmetrical and more pronounced on the maxilla. We discovered three anomalies of the upper maxilla: 1) a rectangular hole on the palatine side of tooth n°26 (the palatine root of tooth n°26 was missing), 2) an indentation at a right angle palatine to tooth n°27, and 3) a semilunar shape of edges around the osteolytic lesion distal and palatine to tooth n°28. Conclusions: The present study provides the first evidence of a tooth removal site, and of oral surgery procedures previously conducted in a 2700-year-old Egyptian embalmed mummy. We found traces of dental root removal, and the opening of a tooth-related osteolytic lesion before the person’s death. The multidisciplinary team, the use of a high resolution 3D CT scan and a 3D-printed model of the upper maxilla helped in this discovery.
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Post mortem ethanol detection in corpses after embalming – preliminary study

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Tomsia M., Nowicka J., Chełmecka E.
Annales Academiae Medicae Silesiensis
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2022
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issue 76
140-146
EN
Nowadays, embalming has become more popular as it is often performed due to sanitary, hygienic, or psychological reasons. In special circumstances, like transporting a corpse from abroad, embalming is an administrative requirement. Embalming is performed using chemical substances that inhibit enzymes, bacteriological activity, and therefore cease decomposition processes. The study shows the toxicological analyses of sampled materials collected during post mortem examinations performed on six corpses subjected to the embalming process. It also presents the concentration of used preservatives in the tissues and body fluids. Analysis performed using gas chromatography with a flame ionization detector (GC-FID) revealed that in five cases, the deceased were intoxicated with ethanol during the time of death, and liquid chromatography-mass spectrometry (LC-MS) excluded the presence of psychoactive substances in all six cases. The results showed that in cases of toxicological analyses of embalmed corpses, it is crucial to secure isolated body fluids, such as cerebrospinal fluid, vitreous humor, and a wide range of reference material.
PL
Balsamacja zwłok staje się coraz bardziej popularna ze względów sanitarnych, higienicznych lub psychologicznych. W szczególnych okolicznościach, jak transport zwłok z zagranicy, balsamowanie jest wymogiem administracyjnym. Balsamacja odbywa się za pomocą substancji chemicznych, które hamują aktywność enzymatyczną i bakteriologiczną, wstrzymując tym samym procesy rozkładu. Prezentowana praca przedstawia analizy toksykologiczne materiałów po-branych podczas sekcji sześciu zwłok poddanych procesom balsamowania oraz wyniki pomiarów stężenia użytych konserwantów w tkankach i płynach ustrojowych badanych zwłok. Analiza przeprowadzona za pomocą chromatografii gazowej z detektorem płomieniowo-jonizacyjnym (gas chromatography with a flame ionization detector – GC-FID) udowodniła obecność etanolu w pięciu przypadkach. Chromatografia cieczowa połączona ze spektrometrią mas (liquid chromatography-mass spectrometry – LC-MS) wykluczyła obecność substancji psychoaktywnych we wszystkich sześciu przypadkach. Wyniki wykazały, że w przypadku analiz toksykologicznych zabalsamowanych zwłok kluczowe znaczenie ma zabezpieczenie izolowanych płynów ustrojowych, takich jak płyn mózgowo-rdzeniowy, płyn gałki ocznej, oraz wielu materiałów referencyjnych.
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