Sayfalar

18 Ağustos 2024 Pazar

546


A number of people made this dissertation possible. First, my supervisor, whom I would like to thank for her informative advice and guidance. It was a pleasure to work with her and discuss my arguments about my dissertation. Her supervision led me to successfully structure my ideas about this dissertation.
I also feel a debt to the staff of Istanbul Archaeological Museum, Hagia Sophia museum and Istanbul Archaeology institute. Permissions from the museums to study architectural sculptures, which are situated there, helped me to evaluate art objects in detail. Additionally, the libraries in the Istanbul Archaeology Museum and Istanbul German Archaeology institute were held useful resources about architectural sculpture, which were found during the excavations directed by these institutes.
I would also wish to offer my gratitude to my family, especially my wife. Since she was always with me whenever or wherever I needed. During the process of writing my dissertation, she always encouraged me to study as hard as I could. I have done nothing without her love and patience as she listened to my queries about this dissertation.
Candidate No: 122765
Abstract
This dissertation explores the perception of architectural sculptures inside Early Byzantine churches. It evaluates how the meaning of marble works changed when comparing their different values in pagan temples and Christian churches. This is important because the motifs and form of the architectural sculptures in Early Byzantine buildings were similar to those from pagan temples. In order to establish the argument that the perception of architectural sculptures was altered inside the churches, this research evaluates those architectural sculptures found during excavations and now situated in the museums of Istanbul Archaeology and Hagia Sophia. Additionally, those examples in the Basilica of St John Studios will also be of interest to this research, since these elements were not separate from their buildings, leading the researcher to evaluate them in the church context.
Candidate No: 122765
Contents
Lıst of Illustrations
Preface
Introduction………………………………………………………………………………… 1
1. The changing architecture and its decoration, and the dissociation from pagan temples……………………………..........................................................................................8
1. 1. The development of Byzantine Constantinople and its church architecture
In Late Antiquity……………………………………………………………………..8
1. 2. Theodosius’ Hagia Sophia and Imrahor Camii: architecture and decoration……………………………………………………………………………12
2. Converting the meaning of temples and their decoration: Christian attitudes to antique art and pagan temples……………………………………………………………..20
2. 1. Approaches to pagan temples in Byzantium and their conversion into Christian churches…………………………………………………………………..20
2. 2. Importing statuary from pagan monuments and giving them new meaning………………………………………………………………………………27
2. 3. Using spolia in Christian churches and changing the meaning of architectural revetments…………………………………………………………….31
3. How did architectural sculpture gain new meaning in the Byzantine church? The perception of marbles in a church context………………………………………………....35
Conclusion………………………………………………………………………………...….49
Illustrations……………………………………………………………………………..........54
Bibliography
Candidate No: 122765
List of Illustrations
Fig. 1. Early Byzantine, Balaban Aga Mescidi, Entablature, 4th century, Marble, in Istanbul Archaeology Museum, Brought to Museum in 1930, inv. 4293, Photo by Author.
Fig. 2. Detail of the Fig. 1.
Fig. 3. Early Byzantine, Constantinian Baths, Architrave and Frieze Block, 4th century, Marble, in Istanbul Archaeology Museum, Brought to Museum in 1956, inv. 5302, Photo by Author.
Fig. 4. Ancient Rome, Temple of Hadrian in Ephesus, 138 AD, source; http://library.artstor.org/library/welcome.html#1 [accessed in 30/08/2014]
Fig. 5. Detail from fig 4.
Fig. 6. Early Byzantine, Trabeation of the Propylon of Theodosius II’s Hagia Sophia, 5th century, in Hagia Sophia Museum, Found in the excavation of 1935, inv. 22, Photo by Author, Reproduced in Claudia Barsanti and Alexandra Guiglia, The sculptures of the Ayasofya Muzesi in Istanbul, (Istanbul: Ege Yayinlari, 2010), fig. 14.
Fig. 7. Early Byzantine, Architrave on the North side of the Nave of the St John Studion Basilica, 5th century, Marble, photo by author.
Fig. 8. Early Byzantine, Slab of Marble from Basilica of St John in Hebdomon, 5th century, in Istanbul Archeology Museum, inv. 4861, Brought to Museum in 1947, reproduced in Niewohner, ‘Byzantinische Gebälke im Archäologischen Museum Istanbul’, 26. Araştırma Sonuçları Toplantısı, Vol. 3, (Ankara, 2008), fig. 6.
Fig. 9. Early Byzantium, Narthex facade of the Basilica of St John Studion, 5th century, reproduced in, Thomas F. Mathews, The Early Churches of Byzantine Constantinople: Architecture and Liturgy, (University Park, Penn., 1971), fig. 15.3.
Fig 10. Early Byzantium, Colonnade on the North Side of the Nave, 5th century, reproduced in, Thomas F. Mathews, The Early Churches of Byzantine Constantinople: Architecture and Liturgy, fig. 15.14.
Fig. 11. Early Byzantine, the Reconstruction of Forum Tauri by Nauman, 1969, in Rudolf Nauman, ‘Neu Beobachtungen am Theodosiusbogen und Forum Tauri in Istanbul’, Istanbuler Mitteillungen 26, fig. 6.
Candidate No: 122765
Fig. 12. Early Byzantine, One of the Columns from Forum Tauri, 4th century, Marble, in Istanbul Bayezid Square, Photo by Author.
Fig. 13. Early Byzantine, Reconstructions of Architraves from Forum Tauri by Nauman, 1969, produced in Rudolf Nauman, ‘Neu Beobachtungen am Theodosiusbogen und Forum Tauri in Istanbul’, fig. 10.
Fig. 14. Early byzantine, Reconstruction of Theodosius II’s Hagia Sophia by Schneider, 1935, produced in Alfons Maria Schneider, Die Grabung im Westhof der Sophienkirche zu Istanbul: Istanbuler Forschungen, 12, (Berlin 1941), plate 5.
Fig. 15. Ancient Roman, Tetrapylon of Aphrodisias, 2nd century AD, Marble, source; http://library.artstor.org/library/welcome.html#3 [accessed in 30/08/2014]
Fig. 16. Early Byzantine, Mosaic Showing the Entrance of Imperial Palace in Ravenna, St Apollinare Nuovo, 5th century, reproduced in Eugenio Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, 26. Arastirma sonuclari Toplantisi, No. 1, (Ankara, 2009), fig. 2.
Fig. 17. Early Byzantine, One of the Corinthian Capitals from the Front Porch, 5th century, Marble, in Hagia Sophia Museum, produced in Eugenio Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, fig. 6.
Fig. 18. Early byzantine, One of the Plaster Capitals, 5th century, Photo by Author, in Hagia Sophia Museum, produced in Eugenio Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, fig. 5.
Fig 19. Early Byzantine, Corinthian Capital Supporting Architraves of Portico, 5th century, Marble, photo by Russo, in Hagia Sophia Museum, produced in Eugenio Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, fig. 8.
Fig. 20. Early Byzantium, Epistyle from the Portico, 5th century, Marble, in Hagia Sophia Museum, inv. 44, Photo by Author, reproduced in Claudia Barsanti and Alexandra Guiglia, The sculptures of the Ayasofya Muzesi in Istanbul, fig. 12.
Fig. 21. Early Byzantium, Modillion Cornice, 5th century, Marble, in Hagia Sophia Museum, inv. 27, Photo by author, Reproduced in Eugenio Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, fig. 10.
Candidate No: 122765
Fig. 22. Early Byzantium, Lacunars on the Ceiling of Central Porch of Propyleaum of Hagia Sophia, 5th century, Marble, in Hagia Sophia Museum, inv. 10, Photo by author, Reproduced in, Claudia Barsanti and Alexandra Guiglia, The sculptures of the Ayasofya Muzesi in Istanbul, fig. 19.
Fig. 23. Early Byzantium, Right Side of the Architrave Presenting Sheeps, 5th century, Marble, in Hagia Sophia Museum, inv. 82, Photo by author, Reproduced in Eugenio Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, fig. 12.
Fig. 24. Early Byzantium, Left Side of the Architrave Presenting Sheeps, 5th century, Marble, in Hagia Sophia Museum, inv. 80, Photo by author, Reproduced in Eugenio Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, fig. 11.
Fig. 25. Early Byzantium, Reconstruction Showing Right Side of the Portico by Scneider, 1935, reproduced in Eugenio Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, fig. 14.
Fig. 26. Early Byzantium, Column capitals from the Narthex Façade of St john Studion, 5th century, Marble, Reproduced in Mathews, The Early Churches of Byzantine Constantinople: Architecture and Liturgy, fig. 15-20.
Fig. 27. Early Byzantium, Detail of the Architrave from the North side of the Nave of the St John Studion, reproduced in Mathews, The Early Churches of Byzantine Constantinople: Architecture and Liturgy, fig. 15- 24.
Fig. 28. Early Byzantium, Marble Floor of the St John Studion, 11th century?, reproduced in Mathews, The Early Churches of Byzantine Constantinople: Architecture and Liturgy, fig. 15- 13.
Candidate No: 122765
Preface
Constantinople as the capital of Byzantine Empire houses many examples of the work of Byzantine artists that can assist in understanding the tradition of using architectural sculpture in Byzantine monuments. This dissertation examines the Early Byzantine architectural sculptures situated in Hagia Sophia and the Istanbul Archaeological Museums. The examples selected provide information about how contemporary craftsmen used their knowledge of decorating friezes. There are many similarities between the classical Byzantine decoration of Byzantine marbles and that undertaken using Christian motifs.
This use of classical motifs in Byzantine monuments and pagan temples prompted the researcher to evaluate their meaning when placed in Christian churches, where they gained new meaning. In particular to discover if they were disassociated from other art works found in pagan temples. Using spolia1 from pagan monuments inside Byzantine churches and contemporary carved architectural sculptures created a new and Christian aesthetic in Byzantine churches. Within the setting of the Christian churches the pagan inspired spolia evoked religious beauty.
Christian churches were disassociated from pagan temples, therefore it is interesting to study how the Christians purified pagan temples and pagan decoration2 when integrating them into churches. This process of purification suggests the idea that within Christian churches the meaning of the art objects was altered. Architectural sculptures should also be considered in the context of Byzantine churches, rather than relative to their artistic value or form, because form was not important in Byzantine art and architecture.
Therefore this dissertation uncovers the meaning of architectural sculptures in Christian churches by asking the question: how were architectural sculptures perceived by Christian viewers inside the churches?
1 The term spolia will be used in this dissertation for reused architectural sculptures in byzantine monuments. Even though it is not the aim of this dissertation that understanding the aim of using spolia in byzantine monuments, it provides certain examples of how Christians approached classical motifs.
2 By the decoration this dissertation means that classical decoration which was used in pagan temples, such as egg and dart mouldings which is used for ion Cymae, scrolling tendrils, palmet motives.
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Introduction
Architectural sculptures, based on examples found during excavations,3 or present inside today’s Byzantine churches are art objects with historical importance. Art historians have critiqued decorated objects, offering comparative studies, complementing other traditions, on the subject of the motifs and the quality of the carvings. The architectural sculptures discussed in this study were used extensively as revetments for buildings or to create aesthetic affects. They became part of architecture and architectural decoration in the Classical and Byzantine eras.4 Within a specific architectural context these objects take on different meanings to those they had in isolation. Therefore this study will examine their meaning relative to their location inside the Church, rather than in relation to stylistic changes.
Late Antiquity produced a range of church architecture and decorative elements. Scholars have noted that the new religion of Christianity adapted both the art and architecture of Late Antiquity, which combined classical and Christian motifs.5 Constantinople, the capital of the Byzantine Empire boasts fine examples of Byzantine art and architecture but also has earlier works of art belonging to a pagan tradition.6 This has given rise to scholarly interest in the development of late antique art and the attitudes of Christians to the art of their pagan predecessors.7 In the process of the Christianisation of Constantinople and in the early Byzantine period, churches and imperial buildings were constructed in the city. Many of the buildings subsequently fell into decay and became known only in the course of excavations and through sources documenting the city’s Byzantine monuments.8 For example, in the case
3 For the excavations carried by Istanbul Archaeology Museum see; The Annual of Istanbul Archaeology Museums, vols. 1-12., (1946-2013); for the excavations in ‘Balabanaga Mescidi’ and ‘Bayezid Square’ also see; A. M. Mansel, ‘Erwerbungberight des Antikenmuseums zu Istanbul seit 1914’, Archaologischer Anzeiger 46, (Berlin: Jarbuch Deutschen Archaologischen Instituts, 1931), pp. 174-210; R. Nauman, ‘Neu Beobachtungen am Theodosiusbogen und Forum Tauri in Istanbul’, Istanbuler Mitteillungen 26, (1976), pp. 117-141.
4 C. D. Sheppard, ‘Byzantine Carved Marble Slabs’, The Art Bulletin, Vol. 51. No. 1, (1969), p. 65; E. Parman, Ortacag ve Bizans Doneminde Phrygia ve Bolge Muzelerindeki Tas Eserler, (Eskisehir: Anadolu University, 2002).
5 See; R. Krautheimer, Early Christian and Byzantine Architecture, (London: Yale University Press, 1986).
6 For pagan examples in Constantinople see, S. Bassett, The Urban Image of Late Antique Constantinople, (Cambridge: Cambridge University Press, 2004); C. Mango, ‘The Development of Constantinople as an Urban Centre’,in the 17th Century Byzantine Congress, Major Papers, (New Rochelle, New York, 1986), pp. 117-36.
7 For the attitudes of Christians towards antique art see, C. Mango, ‘Antique Statuary and Byzantine Beholder’, Dumbarton Oaks Papers, Vol. 17 (1963), pp. 53-75; L. James, “’Pray Not to fall into Temptation and be on Your Guard”: Pagan Statues in Christian Constantinople’, Gesta, vol. 35/1, (The International Centre of Medieval Art, 1996), pp. 12-20.
8 For the information about excavations, sculptures and buildings in Constantinople see; F. W. Deichman, Studien zur Architektur Konstantinopels im 5. und 6. Jahrhundert nach Christus, (Baden-Baden: Bruno Grimm 1956), pp. 56-108; T. F. Mathews, Early Churches in Constantinople: Architecture and Liturgy, (University Park, Penn., 1971).
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of the Schneider’s9 excavations, which had continued since 1935, the old Hagia Sophia was
revived and the excavations carried out by Russian Institute under the direction of Panchenco,
and important elements from the basilica of St John Studion were explored.10 It is thanks to
these pieces of research that the development of Early Byzantine church architecture and
architectural decoration in the Byzantine capital can be appreciated.
The extension of the city of Severan was a key objective pursued by Constantine and
demonstrates the transition from Roman city to Byzantine capital. Following its foundation in
the years between 324 and 330, Byzantion11 was altered by renewed construction activity.
Streets and buildings were completed and in places remodelled; work on the original walls
and the Hippodrome was finished, a great palace was built and the Constantine’s Forum was
constructed.12 After Constantine’s death and until the early Byzantine period other emperors
ordered further building work to expand the city. Thus, in the age of Theodosius, his Hagia
Sophia and the Basilica of St John Studion were constructed.13
With the excavations, which played an important role in illuminating the architecture of Late
Antiquity and Early Byzantium, architectural sculpture decorating both the exterior and the
interior of Byzantine churches came to light. In the 20th century, important studies about
Byzantine architectural sculpture were published. Studies by G. Mendel14 and A. Grabar15
presented examples situated in the Istanbul museums. Additional works contributed to studies
about architectural sculptures; for example, the architectural sculptures present in The
Basilica of St John Studion studied by Kautzsch and Deichman. They considered the
sculptures in reference to the development the taste in decorating architectural sculptures from
the reign of Theodosian I to Justinian’s.16 N. Firatli’s publication on the subject of
architectural sculptures in the Istanbul Archaeology Museums17 and T. Zolt’s explanations
9 A. M. Schneider, Die Grabung im Westhof der Sophienkirche zu Istanbul, Istanbuler Forschungen, 12, (Berlin,
1941).
10 The excavation reports can be seen in; B. Panchenko, ‘Ha. Ioannes Studios’, Izvestiya Russkago Arkeol.
Instituta, vols. 14 (Sofia, 1909), 136-52; 15(1911), 250-57; 16 (1912), 1-359.
11 Byzantion was the name of the Constantinople before Christianised. See; Bassett, The Urban Image of Late
Antique Constantinople, p. 22.
12 Bassett, The Urban Image of Late Antique Constantinople, p. 22.
13 J. Freely and A. S. Çakmak, Byzantine Monuments of Istanbul, (New York: Cambridge University Press, 2004),
pp. 48, 65-70.
14 G. Mendel, Catalogue des Sculptures Grecques, Romaines et Byzantines, (Istanbul, 1912-14).
15 A. Grabar, Sculptures Byzantines de Constantinople (IV-X siecle), (Paris, 1963).
16 Deichman, Studien Zur Architectur Konstantinopels; R. Kautzsch, Kapitellstudien. Studien zur Spatentiken
Kunstgeshichte 9 (Berlin-Leipzig, 1936).
17 N. Firatli, La Sculpture Byzantine Figuree au Musee Archeologique d’Istanbul, (Paris, 1990).
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about Column Capitals18 generated particular interest. These publications provided
assessments, stylistic comparisons and dates, and presented the artistic styles favoured by
Early Byzantine workshops. In line with these publications, the motifs and decoration of
architectural sculptures can be examined by comparing a number of samples from different
churches and public buildings. These resources contribute to an understanding of the
development of decorative elements and an examination of their importance within the church
context.
Exhibits of architectural sculpture in the Istanbul Archaeology Museum and the Hagia Sophia
Museum, and architectural sculpture still in place inside and outside Early Byzantine churches
such as St. John Studion, serve to inform about the tastes prevalent in Late Antiquity with
regard to embellished marble revetments. Examination of the examples from the Early
Byzantine period, especially from 4th and 5th century, points to the continued existence of
motifs and compositions attributable to antique art. Classical motifs, such as egg and dart,
acanthus and palm leaves, and Ionic and Lesbian cymae19 were used to decorate entablatures
(Figs. 1- 2- 3). Their form resembles classical entablatures, which were used in classical
pagan temples and public buildings (figs. 4-5). These are the signs of the lasting impact of
antique art in Early Byzantium. The realistic style of antique art, distinguished by scrolling
tendrils, vine leaves, bunches of grapes, decorated friezes of entablatures and column
capitals.20 Frieze motifs in the propylaeum of the Hagia Sophia and architraves in the porch
and naves of the Basilica of St John Studion21 and friezes found in excavations from the
Basilica of St John in Hebdomon22 are all examples of the survival of antique design in Early
Byzantine art (figs. 6- 7-8).
18 T. Zolt, Kapitelplastik Konstantinopels vom 4. Bis 6. Jahrundert. N. Chr. Mit einem Beitrag zur Untersuchung
des Ionischer Kampferkapitels, Asia minor Studien 14, (Bonn, 1994).
19 Ion and lesbian cymae is used to decorate entablatures of ancient bulildigs. Ion cymae consists of egg and
dart mouldings. Lesbian cymae also cosists of heart shape mouldings. See; A. Marquand, ‘On the Terms of
Cyma Recta and Cyma Reversa’, American Journal of Archaeology, Vol. 10, No. 3, (1906), pp. 282-288.
20 S. Alpaslan, ‘Architectural Sculpture in Constantinople and the Influence of the Capital in Anatolia’, in the
Medieval Mediterranean, Peoples, Economies and Cultures 400-1453, 33, (Boston, 2001), p. 190.
21 T. F. Mathews, Byzantine Churches in Constantinople: a Photographic Survey, (University Park, Penn., 1976),
pp. 143-144.
22 Niewohner Presents examples of architectural sculptures from St. John Basilica in Hebdomon, they are now
in Istanbul Archeology Museum. See; P. Niewohner, ‘Byzantinische Gebälke im Archäologischen Museum
Istanbul’, Araştırma Sonuçları Toplantısı 26, Vol. 3, (Ankara, 2008), pp. 143-152.
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Besides the use of spolia23 in the construction of Byzantine churches, there were local and travelling workshops where architectural sculptures were produced. In ancient Roman and Byzantine times, Proconnesos was the main place for the production and quarrying of precious white marble for architectural sculpture. Most capitals were carved in situ, others were imported to Constantinople or the other regions where churches and other monuments required work.24 Architectural sculptures from these workshops present both traces of antique and Byzantine styles. These pieces can thus be considered to exemplify Early Byzantium’s own artistic taste, which combined antique and Christian art, and adapted classical motifs to the art of the new religion. Craftsmen were able to scrutinize antique works and integrate these motifs into their own art, as Constantinople and Proconnesos had produced ancient Roman architectural sculptures and surviving Roman monuments could be found.25
Studies of architectural sculpture explain the development and quality of motifs on stonework and explore Byzantine workshop traditions in Constantinople and other regions. They further seek to identify the origins of the sculptures and help scholars to understand changes or processes of transformation from antique to Early Byzantine art.26 However, this study aims to evaluate the meaning attributed by Christians to architectural sculpture that was initially used to decorate temples in pagan culture and subsequently employed within a church context. By examining the attitudes of Christian viewers to architectural sculpture in porticos, narthex and naves of churches it is possible to arrive at an understanding of how architectural sculptures acquired new meaning. As architectural sculpture changes the appearance of the church and given the tendency to adorn spectacular buildings, which also applied in the context of pagan temples and imperial buildings for the same reason, this study examines Christian perceptions of architectural sculptures decorating the exterior and interior of churches.
23 Spolia means that using architectural elements of older buildings in newly made buildings, see; H. Saradi, ‘The Use of Ancient Spolia in Byzantine Monuments: Architectural and Literary Evidence’, International Journal of Classical Tradition, Vol. 3, No. 4, (1997), pp. 395-423.
24 There are examples of marbles imported from Proconnesos to Rome starting with second century, and they were also used in forum of Trajan. See; D. Attanasio at all., ‘The Properties and Identification of Marble from Proconnesos (Marmara Island Turkey): a New database Including Isotopic, Epr and Petrographic Data’, Archeometry, vol. 50, no. 5, (2008), pp. 747-774; also see; N. Asgari, ‘the Proconnessian production of Architectural Elements in Late Antiquity, Based on the Evidence from the Marble Quarries’, in Cyril Mango and Gilbert Dagron (eds.), Constantinople and its Hinterland, Papers from the Twenty-seventh Spring Symposium of Byzantine Studies, (Oxford, 1993), pp. 262,263.
25 N. Asgari, ‘the Proconnessian Production of Architectural Elements in Late Antiquity’ p. 265.
26 Deichman presents the modillion cornice and other architraves in Hagia Sophia in terms of its style. See; Deichman, Studien Zur Architectur Konstantinopels, pp. 66-67.
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The Basilica of St John Studion with its decorations is an important monument for the purposes of evaluation compared with other churches, which were dilapidated and therefore make an assessment of their foundation and function difficult. In the case of St John Studion, the church was based on the ground plan of a basilica and its exterior and interior decorated with architectural sculptures. In the narthex, columns with Corinthian capitals carried entablatures (fig. 9). The same applies inside the church. Each side of the nave was separated from the other parts of the building by columns and entablatures (Fig. 10).27
This application of antique patterns in Byzantine churches raises the following questions: what was the aim of decorating these churches with architectural sculpture decorated with the same motifs as pagan temples? How did Christians perceive these architectural sculptures, which are reminiscent of temple decoration, in the church context? Did they have meaning for worshippers or were they merely ornaments to adorn the church? Was it a transition away from decorative culture which dominate earlier forms, to give new meaning within the church?
In order to understand the meaning of architectural sculptures with classical motifs in Byzantine churches, the meaning of spolia should be examined. Because the spolia is an example of classical architectural sculpture. The use of spolia in Byzantine monuments, both sacred and secular, is well documented, in particular, that of spolia taken from pagan monuments.28 Christian attitudes towards pagan monuments and statuary have been widely researched,29 although in this study the contemporary made architectural sculpture that decorated both pagan temples and Christian churches will be evaluated in terms of its evolving meaning in Christianity. The motifs mentioned above were used in the decoration of pagan places of worship, and even though they were not as overtly a sign of paganism as the statues, they belonged to pagan temples and served to create spectacular buildings. Besides their architectural function, for example to carry entablatures or link columns, they played a significant role in enhancing the aesthetic appeal of monumental buildings and thus
27 Mathews, Byzantine Churches in Constantinople: a Photographic Survey, p. 143.
28 For using spolia see; Saradi, ‘The Use of Ancient Spolia in Byzantine Monuments’; J. Elsner, ‘From the Culture of Spolia to the Cult of Relics: the Arch of Constantine and the Genesis of Late Antique Forms’, Papers of the British School at Rome, vol. 68, (2000), pp. 149-184.
29 For the Attitudes of Christian Towards Pagan Monuments see; H. Saradi-Melendovici, ‘Christian Attitudes Toward Pagan Monuments in Late Antiquity and their Legacy in Later Byzantine Centuries’, Dumbarton Oaks Papers, Vol. 44 (1990), pp. 47-61.
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emphasised their importance.30 It raises the question what their new meaning in Christian
religion or in the Christian church was. In order to understand how spolia, and contemporary
architectural sculptures were perceived in Christian art, it is necessary to examine the attitudes
of the Byzantines towards the ancient temples, their statuary and architectural sculpture, reused
to build Christian churches.
Christian emperors, for example from Constantine through Justinian, removed statues and
architectural sculpture from different cities to decorate the Hippodrome and other monuments
in Constantinople,31 where some were displayed for their artistic value, and others were seen
to symbolise the legitimacy of the new empire.32 The same can be said for spolia and
architectural sculptures. The spolia were interpreted as either meaning ‘Legitimacy of new
empire’ or were used in order to ‘create new aesthetic values’. There are numerous examples
of the use of spolia from Greco-Roman temples in monumental buildings,33 which indicates
that the meaning and use of antiquities in Christian churches merits examination.
It is well known that Christian emperors and monks played an important role in the
destruction of pagan temples and subsequently appropriated their architectural material for
their own monuments. Monks generally viewed pagan temples as the homes of demons.
Through the process of conversion, monks and emperors believed that they were fighting the
demons.34 Thus the conversion of pagan religious buildings into Christian churches raises
questions as to how these could be reconciled. As is evident from sources writing about the
destruction and purification of temples, inscriptions and crosses were believed to cleanse
pagan buildings. Thus, inscriptions were used to convert the temple of Isis into a church by
Justinian soldiers: Theodore carved a cross for the religious ceremony was held, additionally
writing an inscription on the right side of the naos which can be read; “the cross has won it
always wins”. This emphasises the belief that the church was purified by the use of Christian
words and symbols.35 It can, therefore, be argued that importing spolia and constructing
architectural sculpture showing classical motifs into churches signified the transition of
30 M. F. Hansen, ‘Meanings of Style On the “Interiorization” of Late Antique Architecture’, in Late Antiquity, Art
in Context, eds. Jens Fleischer at all., (Cophenagen: Museum Tusculanum Press, 2001), p. 75.
31 Saradi, ‘The Use of Ancient Spolia in Byzantine Monuments’, p. 399; C. Mango, ‘Antique Statuary and
Byzantine Beholder’, p. 55; S. G. Basset, ‘The antiquities in the hippodrome of Constantinople’, Dumbarton
Oaks Papers, Vol. 45, (1991), p. 87.
32 Saradi, ‘The Use of Ancient Spolia in Byzantine Monuments’, p. 399.
33 Ibid, p. 395.
34 G. Pagoulatos, ‘The Destruction and Conversion of Ancient Temples to Christian Churches During Fourth,
Fifth and Sixth centuries’, Theologia, Vol. 65, No. 1, (1994), p. 160.
35 Ibid. p. 162.
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culture and gave new meaning to old form. The form or style of architectural sculpture was considered immaterial, as pagan temples were not important in terms of their architecture when they were converted into churches. Instead, the mere addition of new inscriptions and crosses instilled new meaning.
When pagan temples, which were not designed to accommodate worshippers, were converted into churches, they were unsuitable for the new religion. By dissociating themselves from paganism and adopting a new faith, the new Christians developed their beliefs and thus contributed to an increasingly different religion. These differences are as apparent in their monumental architecture as in their art.36 During the Early Byzantine period, the massive, stark architecture of ancient Greece and Rome with its exterior columns and spectacular marble facings was transformed into a new style with greater prominence given to interior decoration. The new interiors or atriums and narthex were decorated both with spolia and newly crafted architectural sculptures. Their exteriors, especially porticos and narthex, were designed with architectural sculpture in the same way as the entrances of temples had been decorated. However, the church interiors featured a combination of decorative elements of marble in the naves and mosaics on the walls and floors, demonstrating the priority given to the interior of the buildings.37 The application of decorative elements on church exteriors continued the preference for magnificent buildings. However, the perception of the worshippers entering the building was not similar since it was now the site of Christian religious practice.38
In order to argue that the meaning attached to architectural sculptures changed, it is necessary to examine how Christians decorated their new capital. This will help to understand the combination of motifs used in the Christian tradition and explain how this tradition changed the meaning. The discussion of tradition in embellishing the capital and constructing churches is followed by an examination of the Basilica of St John Studion and Theodosius’ Hagia Sophia, since they provide appropriate examples of architectural sculpture which are contemporary made and richly decorated. Thus, this paper aims to explore how the function and meaning of architectural sculpture were altered by the Christian community. The study of Early Byzantine architecture and decorative styles will help to present the meaning behind the architectural sculpture. There are many examples of churches resorting to spolia that are
36 Krautheimer, Early Christian and Byzantine Architecture, p. 41.
37 Hansen, ‘Meanings of Style’, pp. 71-72.
38 For the religious services inside the Byzantine church see; L. James, ‘Senses and Sensibility in Byzantium’, Art History, Vol. 7, No. 5, (2004) pp.523-537.
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situated on the site of pagan temples destroyed by Christians. Furthermore, this paper will consider the impression on Byzantine worshippers of recycled architectural sculpture with classical features in a Christian context. Finally, this paper will discuss the worshippers’ general perception of church entrances and interiors, and explore how their overall view of the church affected their perception of architectural sculpture reminiscent of pagan temple ornaments. What was the function and meaning of architectural sculpture in a church context? Were they used only to decorate churches or to give meaning the monuments by embellishing it with these spectacular decorations? The Christian perception of the house of God and the meaning attributed to different parts of the church will be discussed in this chapter.
1. The changing architecture and its decoration, and the dissociation from pagan temples
This chapter sets out to examine the development of early Byzantine churches and their decoration in Constantinople in order to establish how Christians constructed their churches by dissociating them from pagan temples and other pagan buildings. The focus is on Theodosius’s Hagia Sophia and the Basilica of St John Studios but it will also provide brief information about building activity from the time of Constantine until the 5th century, for the purpose of examining Christian approaches to pagan antiquities and their use in Byzantine monuments. These materials will form the basis for an evaluation of the architectural and decorative styles applied and thus offer an explanation of the meaning of decorating churches with classical architectural sculptures as well as different perceptions of architectural sculptures used to adorn pagan temples or Byzantine churches since they require to be understood in the context of the church. By evaluating the artworks in context, the differentiated use of marble revetments by Christians becomes clear and highlights the distinction between Christian religious churches and pagan buildings.
1. 1. The development of Byzantine Constantinople and its church architecture in Late Antiquity
Before examining the architectural tastes in churches, the construction and development of urban planning must be examined since this will help to understand the preference for the classical tradition in the newly Christian city. As presented in the Chronicon Paschale, Constantinian efforts to transform the pagan city were evident during the reign of
Candidate No: 122765 9
Constantine. The walls of the city of Byzas were restored and added to, and subsequent to the
renovations the name of the city was altered to Constantinople.39
The Hippodrome was completed and decorated with statues and a range of other
embellishments; a room was created from which to observe the spectacular building, which
was believed to imitate Rome; a palace was constructed near the Hippodrome; the large,
beautiful Forum was built with a statue of Constantine at its centre. The column was made
from Theban stone and attracted the attention of viewers. It was crowned by his statue, which
was imported from Phrygia40 and included scenes from the dedication of Constantinople,
combining ceremonies from pagan mythology and Christian liturgy. The Forum of
Constantine, which generally used classical ornaments for its decoration, is an example of the
Empire’s reliance on antiquity. It was adorned with both pagan and Christian statues and
surrounded by public buildings, temples and churches.41 Constantine’s approach to antiquity
is further exemplified in his order to transport classical sculptures and spolia from pagan
temples.42 Thus, some of the statues in the Hippodrome were imported by Constantine and,
similarly, the statues in the Baths of Zeuxippos brought from other cities.43 As James stated,
‘through their history the Byzantines lived in an environment where classical statues were
publicly displayed’.44
The same applied with regard to spolia in Byzantine churches, where worshippers and
builders were able to see classical architectural sculpture in church interiors and exteriors.45
During the terms of Theodosius I, Arcadios and Theodosios II, the development of the city
was a prime imperial concern. Public spaces in the Severan walls were restored and
decorated. Just as there was prolific use of antique art works in Constantine’s term, so
sculptures of antiquity were employed to decorate forums, streets and public places. In the
Hippodrome and the Augusteion statues were newly added.46
39 Chronicon Paschale I 527-30, Trans. Cyril Mango, in the Art of the Byzantine Empire 312- 1453, Sources and
Documents, (Toronto: University of Toronto Press, 1986), p. 7; Freely and Çakmak, Byzantine Monuments of
Istanbul, p. 25.
40 Chronicon Paschale I 527-30.
41 Freely and Çakmak, Byzantine Monuments of Istanbul, p. 29.
42 See, Mango, ‘Antique Statuary and Byzantine Beholder’, pp. 55-75; H. Saradi, ‘The Use of Ancient Spolia in
Byzantine Monuments’, pp. 395-423.
43 Bassett, The Urban Image of Late Antique Constantinople, p. 38.
44 James, ‘Pagan Statues in Christian Constantinople’, p. 12.
45 F. W. Deichmann, Die Spolien in der Spatantiken Architektur, (München, 1975).
46 Bassett, The Urban Image of Late Antique Constantinople, p. 82.
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The Forum of Theodosius I presents a persuasive example of reference to classical forms in monuments. In 1958, during excavations conducted by the Istanbul Archaeological Museum, architectural elements were found. These were attributed to the forum of Theodosius.47 It was built on the ancient Forum Tauri in 386-93 with a triumphal arch supported by 8 columns and entablatures at the western end of the square (Fig. 11). Columns were decorated with ‘teardrop’ motifs representing cypress trees (fig. 12).48 The Forum was modelled on Trajan’s Forum in Rome (106-112 AD.).49 At its centre, a ‘commemorative’ column was surmounted by a silver statue of Theodosius.50 With the excavation in 1969, there were also new foundations uncovered, which are architraves and frieze blocks. They were decorated in a classical style which is described as ion and lesbian cymatium and scrolling tendrils (fig. 13).51 The same arrangement is apparent in the Forum of Arcadios (402), whose arcades, porticos and statuary reflect the architectural preferences of the time.52
These examples of baths, forums and hippodrome constructed or rebuilt by Early Byzantine emperors demonstrate that the tradition of public urban construction continued in late antiquity. The realistic style favoured in antiquity and triumphal arches were thus integrated into Christian art. It has been argued that this manner of employing Roman traditional elements in Christian art may be considered either as triumphalism or as a combination of past and present.53 This style of integration, or indeed translation, is also obvious in church buildings, especially in basilicas. Ecclesiastical architecture sought to avoid imitation of pagan religious buildings, which did not allow for congregation inside the sanctuary54 and were thus deemed unsuitable for the requirements of Christian worship. By contrast, the basilica, the official building in pagan traditions, was able to accommodate worshippers and therefore became the favoured type of church architecture for the Christian community.55 Basilicas were divided into naves that directed the viewer to the holy place, the apsis. By endowing these buildings with religious meaning, and thus distinguishing it from pagan
47 Nauman, ‘Neu Beobachtungen am Theodosiusbogen und Forum Tauri in Istanbul’, p. 117.
48 Freely and Cakmak, Byzantine Monuments of Istanbul, p. 43.
49 Mango, ‘the Development of Constantinople as an Urban Centre’, p. 124.
50 Freely and Cakmak, Byzantine Monuments of Constantinople, p. 43.
51 Nauman, ‘Neu Beobachtungen am Theodosiusbogen und Forum Tauri in Istanbul’, p. 136.
52 Bassett, The Urban Image of Late Antique Constantinople, p. 83.
53 Elsner, ‘From Culture of Spolia, to the Cult of Relics’, pp. 149-184.
54 Krautheimer, Early Christian and Byzantine Architecture, p. 41.
55 Ibid. p. 41.
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basilicas, the Christian basilica emerged as a new creation which fulfilled the needs of
Christian worshippers.56
The architecture of the Christian basilica is that of a massive, geometric type of structure of
clear and simple appearance; yet to Christians it represents with its architectural elements and
decoration a centralised house of God.57 Before examining its ornamental features, it is worth
noting that the ‘spatial units’ of the basilica cannot separated from each other, ‘none of the
units can exist alone as a fragment, each unit presupposes the existence of each adjacent
unit’.58 The different elements of naves, narthex and aisle connect and are designed according
to a hierarchical system in which the sanctuary is the most important part whereas the nave is
higher than the other parts of the church. The entrance appears massive and features a richly
embellished exterior. Its decorative elements lend the church weight, so that worshippers
arriving at the edifice come to understand that they were entering an impeccable place of
singular importance. Windows and colonnades introduce decorative features and ensure the
walls do not appear flat.59 The colonnades inside the Basilica provide movement with their
repetitive style, from the beginning of the nave through to the sanctuary. The dynamic,
parallel arrangement of the colonnades attracts the gaze of the observer and leads to the
sanctuary, so that that the structural features of the aisled Basilica create flow within its
spatial organisation.60 This seems to suggest that for the Christian community the original
form and indeed the artworks, such as mosaics and sculptures, were unimportant but were
adapted to a new context.
In Constantinople, Constantine’s churches did not survive, but were generally replaced.
Eusebius’ ‘Vita Constantini’ documents that the Church of the Holy Apostles was first
designed as a mausoleum to which Constantius added a basilica. Describing the design and
construction of the building, Eusebius records that Constantine ordered a church to be erected
in Constantinople in memory of the apostles and he continues that; this building was
embellished and surrounded with slabs of marble in different colours. The roof of the church
was decorated with gold. The gold and other decorations reflected the sun’s rays; therefore,
even people who were away from the building were affected by its brilliantly shining light.
56 Krautheimer, Early Christian and Byzantine Architecture, P.42.
57 H. Buchwald, ‘The First Byzantine Architectural Style: Evolution or Revolution?’, in Jarhbuch Der
Osterreichischen Byzantinistik, 32/5, (Vienna 1982), p. 35.
58 Ibid, p. 35.
59 Ibid., p. 35.
60 Ibid., p. 36.
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Porticoes surrounded the building and separated it from the outside. The emperor’s aim to
create a magnificent building by giving it beauty was fulfilled.61
This description illustrates that instead of a massive, stark temple to pagan deities, the house
of the Christian God was decorated in various styles. Marbles in the porticos resembled the
design of pagan temples; gold, which was associated with the divine and the other ornaments
changed its appearance. Although it is difficult to study Constantine’s churches in
Constantinople, there are examples of basilicas in Rome, such as the Lateran Basilica (313
AD) and St Peter’s (319-322), that generally used spolia to decorate both interiors and
exteriors. The walls tended to be decorated with mosaics and marble revetments.62 Inside the
Constantinian basilicas monotonous views give way to dynamic movement through the
decoration of colonnades embellished with spolia and architectural sculpture created within
the existing tradition, so that the powerful perspective and depth resulting from these
colonnades drew the observer inside.63 By contrast, the exterior was considered less important
than the interior of the church, since it appears plain and austere.64
According to Krautheimer, after the 4th century, construction activities in Constantinople
were largely determined by the Emperor and his court. Commissions and financial support
were provided by the imperial house and aristocratic families. The government operated
marble quarries, especially in the Proconnesian (now Marmara Adası) and increasing
emphasis was placed on training, as a result of which experienced masons and craftsmen
emerged during that period. Within the Constantinian and classical styles, imperial and
aristocratic patronage encouraged builders to apply the concept of order, using precious
materials and elegant designs from the classical tradition.65
1. 2. Theodosius’ Hagia Sophia and Imrahor Camii: architecture and decoration
The existence of elements from antiquity in 5th century Byzantine churches may reliably be
examined with reference to Theodosius’ Hagia Sophia. In 360 the first Hagia Sophia was
completed by Constantius. Built in the style of a basilica with 2 aisles, it was preceded by an
atrium and propyleaum. After being destroyed in a fire, the propyleaum was rebuilt between
61 Freely and Cakmak, Byzantine Monuments of Istanbul, p. 33.
62 Krautheimer, Early Christian and Byzantine Architecture, pp. 48, 57-59.
63 Buchwald, ‘The First Byzantine Architectural Style’, p. 37.
64 Ibid., p. 38.
65 Krautheimer, Early Christian and Byzantine Architecture, p. 103.
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the years 404-415.66 Fragments of Theodosius’s Hagia Sophia were found during Schneider’s
excavation of the atrium of the present monument in 1935, which provided information about
the building before Justinian. The same excavation brought to light remains of the entrance
portico in the shape of entablatures, friezes and columns, which now constitute the main
exhibits in the Hagia Sophia Museum.67 Although the propylaeum had not previously been
dated with certainty, following examination of fragments from mosaics and architectural
sculptures, it was attributed to the reconstruction by Theodosious II.68 This information and
the foundations alone make it impossible to understand the whole plan of Theodosius’s Hagia
Sophia, but the foundations and portico of the church may help to formulate an argument
about how the architectural sculpture of a church’s exterior was perceived; in other words it
helps to imagine the effect on worshippers entering the church and seeing the decorations.
Additionally, these examples contribute to an understanding of the tastes prevalent in early
Byzantium in respect of the decoration of church propyleaum.
Based on hypothetical reconstructions, it appears that the church replicated the floor plan of a
basilica with two aisles and galleries. Schneider held that the entrance of the old Hagia Sophia
was located 8 meters before the exonarthex of the present building. Situated at the centre of
the propylaeum and reached by steps, the portico, which was the centre of propyleaum, was
66 meters long and wider than the narthex of the present Justinian Hagia Sophia. The entrance
divided into one central entrance and side entrances. Beyond the propyleaum the courtyard
was situated.69 With its spectacular entrance and atrium, it is emblematic of a continuous
tradition of church architecture featuring atrium or porticos. As Mathews states, ‘it is quite
difficult to imagine the cathedral without an atrium, insofar as there is no other early
Constantinopolitan church that we can be certain lacked an atrium or forecourt.’70
The architecture of the propylaeum with its portico (fig. 14), which as Barsanti says has a
‘theatrical’ appearance, and columns supporting the tympanum and arches, resembles earlier
buildings in Asia Minor; for example, the mausoleum of the western necropolis outside, the
southern gate of the Market of Miletus, and the Tetrapylon of Aphrodisias which is triumphal
66 Krautheimer, Early Christian and Byzantine Architecture, p. 103.
67 C. Barsanti and A. Guiglia, The Sculptures of the Ayasofya Muzesi in Istanbul, (Istanbul: Ege Yayinlari, 2010), p.
19; Mathews, The Early Churches of Byzantine Constantinople, p. 14.
68 Mathews, The Early Churches of Byzantine Constantinople, p. 16.
69 Schneider, Die Grabung, p. 5; Mathews, The early churches of Constantinople, p. 14.
70 Mathews, The Early Churches of Constantinople, p. 15.
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arch leading to the Temple of Aphrodite (fig. 15).71 These architectural elements, which grace
the entrance of the Hagia Sophia, were not limited to sacred architecture and thus the
entrances of profane imperial buildings or pagan temples can be deemed to have been
modelled while constructing the propyleaum of the Hagia Sophia.72 For example, the front
porch of the Diocletian’s palace at Spalato is similar to the reconstruction of the Propyleaum
of old Hagia Sophia by Schneider.73 Additionally, the entrance of the imperial palace of
Ravenna, which is contemporary with Theodosius’ Basilica and decorated in the mosaic of St.
Apollinare Nuovo, is an example of the 5th century tradition of constructing portals (fig. 16).74
In terms of appearance, the Forum Tauri mentioned above provides evidence of similarities
between different buildings. With its triumphal arch, columns and entablatures it may have
been the model for the Hagia Sophia.75 It appears that the architects and craftsmen referred to
traditional knowledge of classical order while decorating the Theodosian Hagia Sophia.76 The
spectacular gateway and naturalistic composition, with vegetal motifs in its decoration, make
the church appear as a classical monument. The overall composition of Corinthian capitals,
egg and dart friezes and Lesbian cymae is, as previously indicated, a sign of classical
ornamentation. However, upon examining the architectural sculpture in detail, it appears that
the craftsmen tried to create complex arrangements. Acanthus leaves and other vegetal
motives lost their three dimensionality in the new carvings and the representation of
geometric shapes, rhythms of decorative motifs also resulted in reducing their plasticity. This
new type of production was also evident in the other workshops of Constantinople.77
The architectural sculptures of Theodosius’ Hagia Sophia were made mainly of Proconnesian
marble. Of the four capitals carried by the columns of the front porch only one large capital
arrayed with acanthus leaves in the Corinthian style has survived (Fig. 17). Furthermore, there
are two pilaster capitals decorated with two orders of acanthus leaves (fig. 18). The
ornamental style of these capitals shows similarities with the capitals from Theodosian I’s
Forum. However, as Russo notes, although they reflect naturalistic adornments with vegetal
71 Barsanti and Guiglia, The Sculptures of the Ayasofya Muzesi, p. 21; also see; R. R. Smith and C. Ratte,
‘Archaeological Research at Aphrodisias in Caria, 1993’, American Journal of Archaeology, vol. 99, no. 1, (1995),
pp. 33-58.
72 Barsanti and Guiglia, The Sculptures of the Ayasofya Muzesi in Istanbul, p. 21.
73 Schneider, Die Grabung, plate 5.; E. Russo, ‘the Sculptural Decoration of the Theodosian Church of St.
Sophia’, 26. Arastirma Sonuclari Toplantisi, No. 1, (Ankara, 2009), p. 156; T. Marasovic, Diocletian Palace,
(Zagreb, 1970), pp. 15-16.
74 Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, p. 156, fig. 2.
75 For the comparison between two monuments see; Kautzsch, Kapitelstudien, pp. 40-44.
76 Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’, p. 157.
77 Barsanti and Guiglia, The Sculptures of the Ayasofya Muzesi in Istanbul, p. 23.
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motifs, the carving style differs from that of Byzantine craftsmen. Acanthus leaves were cut
deeply and placed at the same level. It can be seen that there is the combination of clear exact
edges, linear tendrils and abstraction. This resulted in a decoration that had lost its naturalistic
rendering.78 This style of craftsmanship for capitals was new and unique. However, there
were also four Corinthian capitals, which reveal similarities with past. These Corinthian
capitals, belong to the portico,79 and reflect classical effects with acanthus leaves perpetuating
that scheme of decorating capitals (fig. 19).80
Besides capitals, friezes, epistyles and trabeations supported by columns gave a magnificent
appearance to the portico. The difference between capitals in terms of ornamental techniques
can also be seen in these architectural elements. Epistyles displayed ‘S’-shaped smooth leaves
with a layer of astragal motifs (Fig. 20). Trabeations are the most important element because
of their decoration in a combination of classical and Christian motifs. Featuring Ionic cymae
with egg and dart motifs at the top followed by a row of vegetal motifs and fruits below, the
decoration continues with Lesbian and Ionic cymae. At the centre of the organic patterns the
Greek cross is flanked by two facing doves (Fig. 6).81 Another example is the modillion
cornice connected to a triangular tympanum, decorated with a medallion cross at the centre.
The lover’s lie of the cornice was adorned with Lesbian cymae surrounding the small cross.
The ornaments on the cornice continue with acanthus leaves and Ionic cymae, which again
reflect the classical taste (fig. 21). The ceiling of the central porch was decorated with marble
lacunars that were square in shape with an octagonal centre, their corners embellished with
carved triangles of leaves, flowers and birds (Fig. 22). Both in the case of this decoration and
in the capitals there is an apparent change in the individual and the whole form of
ornamentation.82 Various antique motifs bedecked these architectural sculptures, but with the
integration of Christian motifs and new preferences advanced by Byzantine artists churches
came to be dressed with marble revetments, thus ending the sparse decorative schemes of
pagan antiquity.
With the excavation of 1935, two more architraves were discovered, each of them displaying
six lambs facing a palm tree. Schneider interprets these figures as a representation of the
twelve apostles and Christ (Figs. 23-24). The architraves were on either side of the portico.
78 Russo, ‘the Sculptural Decoration of the Theodosian Church of St. Sophia’ p. 157.
79 Schneider, Die Grabung, p. 8.
80 Zolt, Kapitellplastik, pp. 112-113.
81 Barsanti and Guiglia, The Sculptures of the Ayasofya Muzesi in Istanbul, p. 27.
82 Ibid. pp. 29-30.
Candidate No: 122765 16
According to Schneider, they belong to the tympanums on either side and were used as their
barrel vaults (fig. 25).83 These fragments are also the signs of a drive to change classical
tradition. Within the form of classical architectural structure, as in the construction of a
spectacular propylaeum for the entrance of the church, early Byzantine artists sought to give
their art new meaning, or perhaps individualised decoration.
The Basilica of St John Studion is another church whose marble decoration merits closer
investigation. With its marble revetments in the narthex and nave it presents valid examples of
classical style applied to architectural sculpture. Most importantly, and unlike the Theodosian
Hagia Sophia, where destruction meant that it is impossible to reliably evaluate the marble
revetments, the relative integrity of St John Studios makes it viable to attempt an examination
of the perception and meaning of architectural sculpture within the church context.
The Basilica of St John Studion, known in Turkish as Imrahor Camii, and its monastery were
founded by Senator Studios in the 450s and is the only important church to have survived
among the churches constructed between the years 415-527 in Constantinople. Although it is
in ruins, the structure of the church can be recognised. The church was important in the
Christian community due to its monastic activities. The Book of Ceremonies reveals its
connection with the religious processions of the Byzantine court. The day of the decapitation
of St. John the Baptist was one of the feast days mentioned in the book. For many years the
basilica and monastery of St Studion accommodated around one thousand monks and formed
the centre of the religious, intellectual and artistic life of Byzantium.84 The Sleepless, whose
name is derived from the account that they prayed in chapel whole days and nights, were the
first monks of the St. John. However, there is no evidence about whether they continue that
practice in Studion or they acted according to rules of the monastery.85 From its construction
until the end of the Byzantine Era it underwent two restorations: first in the 11th century by
Emperor Isaac Comnenus, who together with his brother was educated in the building and
thus had a personal interest in the Basilica. The nature of the repairs and additions they
instigated can be gleaned from the floor mosaics and other decorations. The second
restoration took place after the Latin invasion in 1290 in the reign of Andronicus II. When St
Theodore the Studite became Abbot of the monastery in 799, the Studion was in its golden
age and under his aegis came to be a hub of spiritual influence, which ‘never wholly lost the
83 Barsanti and Guiglia, The Sculptures of the Ayasofya Muzesi in Istanbul, pp. 11-12, plates 4-5.
84 Freely and Cakmak, Byzantine Monuments of Istanbul, p. 66.
85 A. V. Millingen, Byzantine Churches in Constantinople, (London: Variorum Reprints, 1974), p. 36.
Candidate No: 122765 17
impulse of his personality or the loftiness of his ideal.’86 There is no evidence concerning the
life and writings of monks at the Basilica of St. John Studion, but the writings in the 8th and
11th centuries explain the status of the church in Constantinople. The monks of the Studion
lived under the rules of discipline established by St. Basil for men who desire to lead an
“angelic life”.87
The church of St John Studion follows the ground plan of a basilica with its atrium and
spectacular narthex. The characteristic features of a basilica are in evidence here: the atrium
surrounded by cloisters, in the atrium’s centre a phiale, ‘for the purification of gathering
worshippers’, the narthex with its porch surrounding the western façade.88 On the eastern side
of the atrium a porch leading into the narthex of the church was lined with a colonnade whose
columns were crowned by Corinthian capitals resembling classical ones. It is intriguing that
the angle of the abacus was decorated with small birds and pomegranates (Fig. 26). The
entablatures carried by the columns, with their architrave, cornice and frieze reflects antique
forms (Fig. 9). In particular, the doves and crosses in the friezes which present scrolling
vegetal motifs are interesting, since they echo a similar preference among the craftsmen in
Thedosius’ Hagia Sophia. The other parts of the entablature were decorated with Ionic and
Lesbian cymae. The interior of the church was divided by columns that are in green colour
into nave and aisles (fig. 10). The north side of the colonnade of the nave has survived. The
columns support an entablature of Corinthian type featuring the same moulding as those in the
narthex.89 It is also possible to see the doves in the mouldings of the frieze and beneath it an
egg and dart moulding which again reflects a classical style (fig. 27). In general, considering
the capitals and friezes, craftsmen decorated the entablatures in the classical taste yet did not
abandon neutrality. The shapes are three dimensional. Its remains and descriptions presented
by the visitors Pierre Gilles and Gerlach yield some information about the original appearance
of the church. Pierre Gilles who visited the church in the years between 1544 and 1550
described the church’s appearance:
The monastery built by Studios was called Studium, which is entirely demolished. The church remains,
though converted into a mosque. In its porch are four pillars with a curiously finished trabeation. On the
inside of the mosque there are seven green pillars on each side streaked with pieces of black stone. Each
of them measures six feet and six digits in circumference. Their capitals and architraves are finished in
86 Millingen, Byzantine Churches in Constantinople, p. 40.
87 Ibid. p. 41.
88 Ibid. p. 49.
89 Mathews, the Early Churches of Constantinople, pp. 19-23.
Candidate No: 122765 18
Corinthian style, as are those stand in the vestibule. In the upper part stand another order of six pillars.
In the courts of the mosque is a cistern. Its roof, which is of brick-work, is supported by twenty three
lofty Corinthian pillars.90
Gerlach in 1573-78, describes its decoration and in terms of structure refers to a high and
wide church. ‘It has two rows of marble columns with Corinthian capitals. The floor is paved
in the most beautiful fashion entirely which variegated marble, adorned with figures of birds
and other animals.’91 As Gerlach’s description makes clear, the floor of the church was also
decorated in marble placed in opus sectile that included classical and mythological animals
(Fig. 28). These types of marble were also commonly used in Roman floor and wall
decorations. The marble pavements were found in the excavations directed by the Russian
Archaeological Institute. Based on its similarities with the marble decoration of Church of the
Pantokrator, the marble floor decoration can be dated to the 11th century. The Russian
Archaeological Institute also discovered that the walls of the church were decorated with
mosaics, although they did not survive.92 Ruy Gonzalez de Clavijo, who visited church in
1402, recalled that “the roof of the hall and naves and the walls are of mosaic work very
richly wrought, in which are depicted many histories”.93 With its classical decoration, it
communicates the extent to which the Christians embellished those buildings which deemed
to have importance in the 4th century.94
These descriptions and the appearance of the church demonstrate that classical ornaments and
fine porches in church entrances became a traditional style. Both portals and classical marble
revetments inside are reminiscent of classical pagan temples. Although Christians
distinguished their religious buildings from those of their pagan predecessors, the structural
and ornamental aspects in the places of worship created were the same. Aesthetic and
decorative features indicate a wish to enhance the status of the building which can be also
seen in pagan temples. Exhibits in the Istanbul Archaeological Museum are among the
examples of art found in the excavations held in Hebdomon, now Bakırköy.95 The tradition of
decorating entablatures with Ionic and Lesbian cymae and friezes with scrolling tendrils is in
evidence. Three examples of entablatures, which are found on the site of Balaban Ağa
90 Petrus Gyllius, The Antiquities of Constantinople with a Description of its Situation, the Conveniencies of its
Port, book IV, Chapter IX, trans. By John Ball, (London, 1729), p. 261.
91 Millingen, Byzantine Churches in Constantinople, p. 50.
92 Freely and Cakmak, Byzantine Monuments of Istanbul, p. 71.
93 Ibid. p. 71.
94 Mathews, The Early Churches of Constantinople, p. 19.
95 Niewohner, ‘Byzantinische Gebälke’, Figs, 1,3,5,6.
Candidate No: 122765 19
Mescidi,96 that are also held in the Istanbul Archaeology Museum reflect the classical style
(figs. 1-2). These examples were also belong to buildings from 4th and 5th century. All these
examples which are not based on spolia from pagan monuments in Byzantine churches, they,
as contemporary made architectural sculptures, also feature the work of artisans in marble
workshops using the same style which is classical.97 This is the tradition of decorating
monumental buildings. The antique examples and continuing tradition in the times of
Constantine and Theodosian I were scrutinised by craftsmen who incorporated these styles
into their art by taking certain examples, for instance Ionic and Lesbian cymae and friezes,
and combining them with Christian motifs. The style did not only endure in Constantinople,
but also in Anatolia and Greece. The examples of spolia and contemporary marble carvings
resembling classical designs is apparent. Examples found in the excavations in Nicomedia98
are also similar to classical architectural sculpture.
This tradition continued in the Justinian period. For the decoration of St John’s basilica in
Ephesus, Corinthian capitals were used.99 Additionally, in the church of Sts Sergius and
Bachus in Constantinople, marble columns supporting Corinthian capitals, entablatures
adorned with egg and dart mouldings, and friezes of scrolling tendrils the cross and
inscription carved at the centre of entablatures are evidence of the adaptation of classical
ornaments into Christian art.100 As was mentioned while describing the entablatures of Hagia
Sophia the cross at the centre of the entablatures or friezes showing lambs and palm trees had
symbolic meaning in Early Byzantine art. As Hansen says ‘one can regard the reuse as
deliberate aesthetic, a style charged with meaning. The way we see the world determines we
construct in pictures or buildings.’ Overall, the changing preferences can be regarded as a
characteristic trait of early Christian and Early Byzantine tastes that emerged in the second
century and developed the naturalistic style into the stylised, abstract and metaphorical forms
of art.101
This chapter has examined the classical tradition in Byzantine architectural sculpture and its
effect on the appearance of the church. Were those classical ornaments significant? Can they
96 Mansel, ‘Erwerbungberight des Antikenmuseums zu Istanbul seit 1914’, pp. 197-198.
97 Niewohner, ‘Byzantinische Gebälke’, pp. 143-145.
98 For the examples which are situated in Nicomedia Museum, see; G. Hakan, ‘Kocaeli Muzesi Bizans devrisi
Mimari Plastik Eserleri’, Sakarya Universitesi Sosyal Bilimler Enstitusu Yuksek Lisans Tezi, (Sakarya 2009).
99 E. Russo, ‘The capitals of the First Basilica of St. John Ephesus’, 27. Arastirma Sonuclari Toplantisi I, (Denizli
2009), pp. 275-289.
100 Mathews, Byzantine Churches of Constantinople, plates, 27,28,29,30.
101 Hansen, ‘Meanings of Style’, pp. 71-72.
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still be considered classical when applied to ecclesiastical architecture with Christian motifs? An evaluation in following chapters of the attitudes of the Byzantine world towards classical art and architecture and the worshippers’ perception of these classical motifs within the context of the church will illustrate the manner in which architectural sculpture and decorative approaches altered the appearance of churches and how the Christian context enriched them with new meaning.
2. Converting the meaning of temples and their decoration: Christian attitudes to antique art and pagan temples
The first chapter presented the use of antique art in Byzantine Constantinople and in particular classical architectural sculpture in Byzantine churches. Since sculpture also appeared in temples, especially at their entrances, the Christian approach to pagan places of worship and their architectural elements, which is reminiscent of classical pagan temples, should be examined. In order to establish that Christians translated and adopted the decoration of architectural materials for new purposes, it is necessary to examine how they converted temples into Byzantine churches and reinterpreted the meaning of the buildings. It may be assumed that dealing with pagan architectural sculpture did not presuppose consideration of the form. Additionally, to understand the Christian position, their use of spolia in Byzantine monuments must be considered together with the meaning this has in church architecture. This chapter will explore the meaning associated with the use of spolia in Byzantine monuments and assess if this situation marked a transition in interpretation. Evaluating the attitudes of Byzantines towards pagan places of worship, sculpture and statuary will allow their interpretation from a Christian perspective to be examined.
2. 1. Approaches to pagan temples in Byzantium and their conversion into Christian churches
An assessment of the attitudes among Byzantines towards pagan places of worship brings to light a range of approaches. There are many examples of temples that were destroyed with their architectural elements and statues. The most extensive act against pagan monuments consisted in converting them into churches by making alterations to the architecture in order to create new structures that fulfilled the needs of Christian liturgy. On the one hand, there were attacks to destroy temples and their decorations, on the other hand, some Christians, especially emperors, wanted to keep them intact without giving permission to worship. Although some legislation centred on prohibiting non-Christian worship and closing temples,
Candidate No: 122765 21
there are also examples of efforts to open them to the public and appreciate their artistic value.
According to some scholars, they were allowed to open for political reasons.102
Legislation against pagan monuments and beliefs was initiated in the reign of Constantine.
The new Christian Empire imposed serious restrictions on pagan worship including the
closure of temples, possessing the properties of pagan places and prohibiting worship of idols
and sacrifices.103 Examples of such laws can be read in the Codex of Theodosius: ‘Permission
shall be granted to all other persons also to appropriate custom to themselves, provided only
that they abstain from domestic sacrifices, which are specifically prohibited’.104 Christians
were also intent on prohibiting what they perceived to be superstitions. The Codex of
Theodosius further stipulates that ‘superstitions shall cease’ and continues by mentioning that
‘the madness of sacrifices shall be abolished’.105
Besides legislation prohibiting pagan worship, negative attitudes to the buildings associated
with such practices were apparent and led to attacks against temples. Their destruction was
generally directed by fanatical bishops and monks who rejected pagan cultural tradition,106 as
well as by imperial officers who gained authority. The shrine of Jupiter was destroyed by
imperial authorities with the help of Bishop Marcellus of Apamea, who also encouraged the
army attack on the pagan temple at Aulon.107 The Serapium temple was demolished in 391
after a fight between Christians and pagans who were inhabitants of Alexandria in the term of
Bishop Theophilus.108 For some scholars it was the occasion that provided an example of
‘religio-political’ events.109 Since, the main concern of Theophilus was the purification of the
pagan temples in Alexandria when converting the buildings into churches. To achieve this, he
used his power as an ‘ecclesiastical politician’. Monks had ‘secular arms’ for fighting and
defeating pagan cults.110 Saradi asserts that incidents of destruction of temples were not
organised by the church governance but by civil officials and local churches, which organised
attacks against them.111 Some bishops harnessed the ‘religious zeal of monks’ when they
102 Pagoulatos, ‘The Destruction and Conversion of Ancient Temples to Christian Churches’, p. 152.
103 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 48.
104 The Theodosian Code, 16. 10. 1. Trans. by Clyde Pharr, (New york: Princeton University Press, 1952), p. 472.
105 Ibid. , 16. 10. 2.
106 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 47.
107 Pagoulatos, ‘The Destruction and Conversion of Ancient Temples to Christian Churches’, p. 155.
108 G. Fowden, ‘Bishops and Temples in the Eastern Roman Empire, A.D. 320-435’, Journal of Theological
Studies, vol. 29, No. 1, (1978), p. 69.
109 J. Hahn, at all., From Temple to Church: Destruction and Renewal of Local Cultic Topography in Late
Antiquity, (Boston, 2008), p. 19.
110 Fowden, ‘Bishops and Temples in the Eastern Roman Empire’, p. 69.
111 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 49.
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wrecking temples, and newly converted Christians violently expressed their attitudes against
pagan shrines. These acts represented their commitment to Christianity and proved their
strong adherence.112 In the reign of Theodosius the oppression of paganism was supported by
the imperial authorities. When Cynegius became ‘Praetorian Prefect of the East’, using the
advantages of his good relationships with the imperial court, he orchestrated organised attacks
against pagan religious buildings. He used Theodosius’s decrees against paganism for his own
purposes.113 His assaults in Egypt are documented in Libanius’ writings, which were critical
of such conduct. Libanius noted that such sentiments were in evidence in both urban and rural
contexts. He described temples as playing an important role, arguing that they ‘were the souls
of the countryside’. However, Christians thought that the elimination of pagan sites would
bestow blessings on the world. ‘Then what is your purpose, Sire, in maintaining your forces,
equipping your armies and conferring with commanders?’114
However, there is also evidence that Christians in Late Antiquity held positive attitudes
towards pagan monuments. Although they prohibited pagan worship, their idols and the
materials from which they made them had formerly had a place in pagan religion. Some
temples were prevented from being damaged either due to the fact that they were converted
into churches or because they were preserved for their artistic value.115 Moreover, there are
examples of temples which were given permission to operate from the time of Constantine
until the early years of the reign of Theodosius. For political reasons Constantine and
subsequent emperors had to accept pagans as they were generally also in the army.116 The
emperors tried to deal with pagan temples by using them to meet the needs of community.
This would helped them to prevent clashes between pagans and Christians. The Codex of
Theodosius asserts that temples should be open for common use by the public, but the
‘performance of sacrifice’ must be forbidden inside the temples.117 Since the population of the
new Christianised Empire comprised Christians and pagans, the destruction of temples and
other acts of provocation were generally avoided in order to preserve good relations with the
pagan community. Saradi explains that the process of Christianisation of the Empire was slow
as there was considerable struggle to integrate Christians. It cannot be ignored that the upper
112 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 49.
113 Pagoulatos, ‘The Destruction and Conversion of Ancient Temples to Christian Churches’, p. 155.
114 Libanius, “Oration XXX”, trans. by A. F. Norman, Libanius selected Orations, vol. II, (London: Heinemann,
1977), p. 113.
115 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 47.
116 R. L. Fox, Pagans and christians, (San Francisco: Harper Collins Publishers, 1986), p. 666.
117 The Theodosian Code, 16.10.8.
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class had a strong pagan character and certain imperial ceremonies were similarly pagan.
Since earlier imperial favours inclined towards pagan temples, sustaining pagan culture and
their monuments, Christians were later provided opportunities to transform temples into
churches. Moreover, the social order also played a key role, since an empire with an extensive
pagan population might have seen protests.118 In 342,119 it was decreed by Constantius and
Constans Augustus to Catullinus ‘prefect of the city’, that temples outside the city walls had
to be protected due to their relationship with ‘public amusements’ (which derived from the
Roman tradition),and public usage, meaning social activities and political meetings. For
example, the temples preceded the original plays which later offered ‘spectacles of the circus
or contests’.120 According to imperial legislation in 399, from Constantius and Constans
Augustus to Eutychianus; if temples in country districts were destroyed, this should be
without ‘disturbance or tumult’, in order to remove the materials suitable for another
construction.121 According to a decree In 407 from Emperors Arcadius, Honorius and
Theodosius to Curtius, the altars of temples would be demolished, but the buildings should
have been designated for ‘public use’.122 This legislation also indicated that the emperors
were avoiding the enemy and pagans who were dwelling in Byzantine lands. They also
showed that it was not a case of imperial powers demanding that bishops attack pagan
temples.123
The other stance towards pagan monuments consisted of displaying them for their artistic
merit. For example, the temple at Osrhoene in Mesopotamia was opened in order to present to
the public an art object in appreciation of its aesthetic value.124 Legislation related to such a
perspective was established in 382 by the Emperors Gratian, Valentinian and Theodosius, it
has been announced that the temples will be opened and provided to the community to use
them to meet the public needs;
And in which images are reported to have been placed which must be measured by the value of their art
rather than by their divinity; We do not permit any divine imperial response that was surreptitiously
obtained to prejudice this situation. In order that this temple may be seen by the assemblages of the city
118 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 48; for the difficulties of
christianisation see; P. Brown, Authority and the Sacred: Aspects of the Christianisation of Roman World,
(Cambridge: Cambridge University Press, 1997), pp. 5-10.
119 This date is not certain, according to Pharr, Catullinus was prefect of the city from 342 to 344. The
Theodosian code, p. 472.
120 The Theodosian Code, 16.10.3. p. 473.
121 Ibid. 16.10.16. p. 474.
122 Ibid. 16.10.19. p. 475.
123 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 49.
124 Ibid. p. 51.
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and by frequent crowds, Your Experience shall preserve all celebrations of festivities, and by the
authority of Our divine imperial response, you shall permit the temple to be open, but in such a way that
the performance of sacrifices forbidden therein may not be supposed to be permitted under the pretext
of such access to the temple.125
In the constitution of the year 399, Arcadius and Theodosios announced legislation regarding
the destruction of works of art. This states that attempts to destroy art belonging to pagan
temples have no defence, nor are they deserving of praise. Moreover, if the perpetrator has
any rescript or any law under his authority, these cannot be considered as proof.126 Another
statement decreed that the demolition of those temples ‘which are empty of illicit things’ was
also forbidden by emperors and no one could refer to the emperors’ official order to attack
against temples.127 These examples of legislation indicate that acts of aggression against
pagan monuments were prohibited, since they were regarded as possessing artistic value or
potential for conversion.
As referred to in the introduction, pagan monuments were generally converted into churches
or their sites taken over for the construction of churches. These occurrences are worth
examining as they explain the attitudes of Christians toward pagan temples or present how
they reinterpreted the building and its architectural elements. No written sources survive
documenting Constantine’s order to construct churches on pagan sites in Constantinople.128
The most significant example instigated by Constantine was the levelling of the temple in
favour of a church in Mambre, recorded by Eusebius in Vita Constantini. He described a
temple as a place inhabited by superstitious persons and idols. Of particular focus was the
altar, which was the site of sacrifices.129 He is further known to have permitted Bishop
George to convert the temple of Mithra into a church. During his incumbency, Gregory of
Nazianzus converted the temple into a church. Moreover, the temple of Dyonisius was
converted into a church by the Patriarch Theophilus of Alexandria.130
Accounts of how Christians dealt with temples and converted them into churches were
presented by Mark the Deacon, the author of Life of Porphyry. Following the destruction of
the Temple of Marneion in a fire, the holy Bishop St Porphyry decided to build a church with
125 The Theodosian Code, 16.10.8., p. 473.
126 Ibid. 16.10.15., p. 473.
127 Ibid. 16.10.18., p. 473
128 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 53.
129 Eusebius, Life of constantine, book III, Trans. by Averil Cameron and Stuard G. Hall, (Oxford :Clarendon Press,
1999), p. 142.
130 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 51.
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funds received from the Empress Eudoxia for this purpose. Disagreements had raged about
how to use the architecture of the Temple of Marneion with some in favour of building a
church on the site of the temple, while others were of the opinion that ‘the very memory of
such a plan ought to be blotted out’ because of pagan features, such as its porticos and
‘inflated dome’.131 To resolve the matter, St. Porphyry passed on the decision to the will of
God whereupon he received imperial correspondence from Eudoxia. It opened with ‘greetings
and requests for prayers for herself, her husband and child’ and further included the
construction plan for a cruciform church that was to be built accordingly.132 Moreover, the
letter emphasised that the remains, such as marbles and columns ought to be transported.
When digging began and some ‘abominations’ were destroyed, the Bishop ordered that they,
‘which they said sacred’ and had been in a place not to be entered ‘especially by women’, be
carried into the street, so that women and men could walk on them.133 The erection of the
church proved an emotional event because of the belief that this was Christ’s conquest, and
the cooperation between men and women, young and old, to clear away the temple levelled
any differences between them.134
In addition to this conversion of temple into Christian church, there were other examples of
removal of pagan relics and purification of temples. Although the exact date is not known, it
is related that in the life of St Thekla the temples of Sarpedon Apollo, Athena, and Zeus were
taken over and consecrated.135 Pagan temples were believed to house demons and
contaminate sites that Christians thought to purify by constructing churches.136 In 435,
imperial proclamations ordered all pagan temples and their sanctuaries to be razed under the
command of the judges and be purified through the construction of the sign of the Christian
religion.137 Thus, it was common practice to carve a cross on the forehead of statues. In
addition, there are examples of monks who fought with demons in temples. It is said that
when the inhabitants of Anaplon related that disasters had befallen the area as a result of
demons settling in the temple, St Daniel the Stylite moved into the temple. He fought and
after three days succeeded in exorcising the demons. Drawing inspiration from the moral that
‘the Christian religion was superior’, monks and saints used these miracles in the sites of
131 Mark the Deacon, Life of porphyry, ch. 75, trans. C. Mango, The Art of the Byzantine Empire, p. 31.
132 Ibid. ch 75, trans. by G. F. Hill, (Oxford: Clarendon Press, 1913).
133 Ibid. ch 76, trans. C. Mango, p. 31.
134 Ibid. ch 78, trans. by G. F. Hill.
135 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 54.
136 Ibid, p. 54.
137 The Theodosian Code, 15. 10. 25.
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pagan temples.138 These examples demonstrate Christian readiness to use their assumption of
divine knowledge in their approach to pagan temples. They were aware that pagan temples
differed greatly from their belief and since their new religion did not accept the pagan idols,
they were identified as illegal, especially in connection with sacrifices and superstitions.
While for the pagans demons were important in religion, Christians believed that demons
were naturally evil.139 Both the statuary and architecture of temples were deemed to be in
need of purification as they were held to be in the possession of demons. As mentioned above,
these sites were purged using symbolic religious elements such as the cross, icons and
inscriptions. Symeon Metaphrastes is said to have introduced an icon of Christ and a crucifix
to purify the demolished edifice on which St Euphemia was subsequently constructed, in
order to exorcise the ‘army of the demon’.140
Archaeological reports refer to the conversion of the Temple of Aphrodite in Aphrodisias in
the 5th century where an Ionian temple was transformed into a Christian basilica. The statue
of Aphrodite was buried under the wall at the south side of the basilica. Existing colonnades
were chosen to enhance the naves but other structures were changed. The original axis ran
from east to west, and the entrance lay at the east end of the temple. The Christian builders
decided on a roofed basilica in order to give the temple the appearance of a church and reused
the colonnades for separating the aisles and naves. The altar platform of the temple was
transferred into the eastern part of the church while the western part of the temple was used as
the narthex.141 This converted temple is thus an example of the adoption of pagan
architectural elements into Christian religious architecture. This could be seen as either a
Christian victory or simply as the construction of a new church by fulfilling the needs of
liturgy. However, it is worth enquiring into why the preference was for constructing churches
on pagan temples when many other sites stood at their disposal.
The conversion of temples continued into the Justinian period. While some of the conversions
cannot be dated correctly because of the lack of archaeological evidence, there are other
examples of churches that were transformed from temples in the time of Justinian. The temple
of Isis is the most important example due to empirical evidence of the events leading to its
sanctification. The victory of Justinian’s army against the inhabitants brought about the
138 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 55.
139 Ibid. p. 55.
140 Ibid. p. 55.
141 R. Cormack, ‘The temple as the cathedral’, in C. Roueche and K. Erim (eds), Aphrodisias Papers: Recent Work
on Architecture and Sculpture, (Ann Arbor, 1990), p. 76.
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conversion of the temple, into which St. Theodore carved purifying inscriptions. The
inscription on the pronaos read: ‘this place became in the name of the holy ad consubstantial
trinity the house of St. Stephen under our father, the very reverent bishop, abbot Theodore;
may god preserve him for a long time.’142 Although the architecture of the temple as a whole
had not been changed, the building itself was Christianised by the act of carving the cross and
writing inscriptions in the belief that the temple was purged from evil representing a victory
by Christians over paganism.
2. 2. Importing statuary from pagan monuments and giving them new meaning
The import of antique statuary and architectural sculpture serve to illustrate how, besides
ravaging and converting places of worship, Christians approached and exploited classical
(pagan) art. Examples of antique statues were on display in the Hippodrome of
Constantinople and legislation in the year 365 indicates collection taking place in the
provinces as well, as governors imported statues, slabs of marble or columns from other areas
for the purpose of enriching the appearance of their cities.143
However, pagan art and architectural works were used for other purposes too, such as to
ridicule the public. Saradi suggests that they were not necessarily brought for their artistic
value, but were considered as a sign of the victory of Christians over paganism and objects for
teasing and provocation.144 There is evidence of commentary on this situation by both
Socrates and Theodoret. Socrates compared the constitutional aims of erecting pagan statues
in public places, while others were razed by the Patriarch Theophilus of Alexandria in order
to further the decline of paganism. A further purpose was to emphasize that Hellenes would
not prove that they did not consider these statues as god and worshipped them. Theodoret
similarly explained that while pagans in the Christian community always sought to hide their
statues and beliefs, Christians brought them into the open for public ridicule.145 These
attitudes mark the significance attached to the victory of Christians over paganism. Christians
generally made a link between pagan statuary and demons or superstitions based on the idea
142 Pagoulatos, ‘The Destruction and Conversion of Ancient Temples to Christian Churches’, p. 161.
143 The Theodosian Code, 15.1.14, p. 424.
144 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 50.
145 Ibid. p. 50.
Candidate No: 122765 28
that demons possessed pagan edifices and their statuary.146 These different approaches to
antique art are distinct from consideration of its artistic value.
In Constantinople, the collection of antiquities represented different metaphorical meanings.
This collection started with Constantine in Constantinople and is apparent especially in the
Baths of Zeuxippos and the Hippodrome. The main purpose was to display different works of
art. Although it was ruined in the Nika riots, the collection in Zeuxippos can be reconstructed
from sources. The Baths of Zeuxippos held statues of Aphrodite, Herakles and mythological
figures associated with the ‘four elements, healing or pleasure.’147 Examination of the
decoration with its portraits and other mythological figures showed it to follow a traditional
style that was also used in the decoration of the Roman baths.148
Literary sources list about twenty-five antique statues, mostly figural, in the Hippodrome,
which included various examples of apotropaia, victory monuments, public figures and
images of Rome.149 Apotrapaic objects showed descriptions of Zeus, wild animals and
fantastic figures. These creatures were associated with evil, as represented in the
Hippodrome’s depiction of the wild. Heroic figures and demigods were employed as
victorious examples for competitors in the Hippodrome. They reflect the Constantinian style
incorporated into his architectural plan. Imperial images can also be found among the statues
in the Hippodrome; they called attention to Roman rule, from republic to empire and tetrarchy
by displaying representations of Julius Caesar, Augustus and Diocletian and can be read as
attempts to foster similar responses to those engendered by the Arch of Constantine.150 These
features in the Hippodrome may have been a reference to the continuous tradition of a ruling
system or comparison between Roman and Byzantine rulers. As stated in the Chronicon
Paschale, the Hippodrome was built in imitation of the Circus Maximus, which suggests that
using antiquities in the Hippodrome and designing it in line with the Roman original was seen
to perpetuate that culture in public places and thus garner respect.151
As was the case in the Hippodrome and the Baths of Zeuxippos, the Forum of Constantine
was also decorated with antique statues, including figures of Paris, Hera, Aphrodite and
146 McMullen argues the attitudes of Christians towards paganism, and he explains the exhorcisim of demons
from temples. See; R. Macmullen, Christianising the Roman Empire (A.D, 100-400), (London: Yale University
Press, 1984), p. 27.
147 Basset, The Urban Image of Late Antique Constantinople, p. 52.
148 Ibid. p. 56.
149 Basset, ‘The Antiquities in the Hippodrome of Constantinople’, p. 88.
150 Basset, The Urban Image of Late Antique Constantinople, p. 64.
151 Ibid. p. 65.
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Athena. These collections in three important places made the city a capital situated between
past and present, with pagan statues and Christian monuments.152 Importing statues to
Constantinople was intended to make the capital the most beautiful city. Vasari’s writings
about Constantine’s collecting activities confirm that the latter introduced the most beautiful
sculptures from other cities to adorn his new capital, a sign that Rome had lost its reputation
as an artistic centre and was replaced by the new capital of Byzantium.153 The legislation that
sought for temples be opened can be linked this argument as it illustrates that the Byzantines
valued antique sculpture as an artistic product. Therefore, antiquities in various cities can be
understood to have had different meanings and, as Mango claims, statues were regarded in
both popular and intellectual terms. The popular perspective was to see them as animated
objects in the belief that they were inhabited by demons. For intellectuals, they were vehicles
for superstitions that were then transformed by Christianity.154 This meant that in some cities
they were used to ridicule the public, while in the others they were seen as works of art.
However, a work of art has symbolic meaning in addition to its formal features. Thus statues
may have been a sign of imperial legitimacy that derived from the Roman tradition;
alternatively they may have reflected the intention by Constantine to unify the capital by
bringing together pagan and Christian elements.155 This can be seen as both a political and
traditional attempt to make aesthetically appealing works of art. It indicates that the
Byzantines were inspired by the pagans to decorate their city156 as its examples can be seen in
the Forum of Constantine and the Forum Tauri. Beside these interpretations, which read
pagan statues as either demonic and evil or as possessing artistic value, some interpret the
absorption of pagan works into Byzantine art as holding symbolic meaning. Thus, associating
statues or figures of pagan gods with holy images from the Old and New Testaments was the
popular tradition in Byzantium. Eusebius describes a statue of Aesculapios, as a
representation of ‘Christ healing the woman with an issue of blood’.157 Similarly, the statue in
the Forum Tauri was associated by Christians with Joshua and a seated statue was seen as
Solomon. These views in Byzantine art can be defined as personifications, or as Mango says
the re-interpretation of superstitions.158 The intentions behind the creation of statues were the
same for pagans and Christians: for the former, the statue had power as a demon and was a
152 Basset, The urban image of Late Antique Constantinople, p. 71.
153 Ibid. p. 3.
154 Mango, ‘Antique Statuary and Byzantine Beholder’, pp. 59, 63.
155 James, ‘Pagan Statues in Christian Constantinople’, p. 13.
156 Mango, ‘Antique Statuary and Byzantine Beholder’, p. 74.
157 James, ‘Pagan Statues in Christian Constantinople’, p. 17.
158 Mango, ‘Antique Statuary and Byzantine Beholder’, p. 63.
Candidate No: 122765 30
sacred image in Roman pagan religion, whereas for the latter the icons were imbued with holy
power.159
A further example of the use of ancient statuary in Byzantine cities is Ankara. Unlike the
examples discussed above, this is a case that gives new meaning to Christian approaches to
pagan works of art since they were employed in the construction of the city walls. James
correctly raises the question why they would have been erected in defensive walls rather than
public monuments if they had been considered demons. Clearly, their use here was not
attributable to their aesthetic qualities or a lack of material but rather reflects a return to
former traditions and exploiting the statues’ metaphorical power. ‘It is a way of acquiring the
power of rival gods for one’s own benefit, as Constantine himself did when he founded
Constantinople to the accompaniment of pagan rites and filled his new city with classical
statues, or as the bishops did, who converted pagan temples and pagan sites to Christian
usage. Inscribing a cross works similarly, sealing the object for Christian purposes.’160
Antique statues and Christian icons had the same power when the Byzantines gave them new
meaning. In the case of metaphoric art of Byzantium, antique statues were both artistic
creations, which were relics from the past and had a meaningful aesthetic for Christians. This
combination of artistic value and power in terms of meaning increased their importance.161
These statues with other architectural elements were effective in creating the Christian
identity of Byzantium and led Byzantines to adopt them into their new religion.
This examination of Christian attitudes toward pagan monuments and their statues, which set
out to elucidate the general meaning of temples in Christian art, demonstrates that there were
different perceptions of statues and temples in the Christian community. The most important
attitude was that artefacts and sites had artistic value, which could be exploited by changing
their meaning. It is therefore no surprise that the Byzantines used spolia from pagan
monuments in Christian contexts. The belief that temples and their architectural elements
were the sign of demons and evil meant that rituals of purification were required. Just as
Christians either attempted to raze pagan temples and their statues or considered them as
artistic creation by giving them new meaning, the same beliefs applied in the case of spolia
and architectural sculptures. Some architectural elements were demolished, while others were
reused in Christian churches for either their artistic merit or the glorification of the church.
159 James, ‘Pagan Statues in Christian Constantinople’, p. 16.
160 Ibid. p. 16.
161 Ibid. p. 18.
Candidate No: 122765 31
Additionally, the idea was that using spolia in byzantine monuments symbolised the
destruction of temples.162 However, the notion was the same, namely that it was essential to
change the meaning of the materials.
2. 3. Using spolia in Christian churches and changing the meaning of architectural
revetments
As can be seen in statues and temples, the spolia that was used in Byzantine monuments
served the reinterpretation of architectural sculpture in holy places. Besides their political
message they also denoted the victory of Christianity. Crosses and inscriptions were carved
on spolia and gave it new meaning.163 When the spolia was examined, it revealed columns,
statues, column bases and entablatures. Functionally, they support the weight of horizontal
walls and arches. In this construction system entablatures and columns play an important part.
Column capitals and embellished entablatures are intended for decoration and aesthetic
appearance. As previously stated, building traditions refer to the continued use of classical
architectural design, which as Vitrivius emphasised, consisted of Doric, Ionic and Corinthian
structures.164 The colonnades were generally decorated in these three styles with embellished
marbles popular in the Roman architectural tradition. Byzantine architects relied on the
combination of these styles with the Christian when embellishing colonnades. The inclusion
of classical spolia or contemporary architectural sculpture with Christian motifs brought about
the transition in meaning. The classical elements were no longer what they had originally
been.165
The extensive use of spolia began in the reign of Constantine. The most important example of
its time was the Arch of Constantine, and numerous conclusions and arguments have been
made concerning the intention behind the use of spolia for the arch, mostly suggesting that
Constantine wanted to show his legitimacy by using the reliefs of Trajan, Hadrian and Marcus
Aurelius.166 And it continued in Theodosius’ reign. The legislation in the year 397 shows
orders for using materials from temples in bridges, walls and churches. Stones and slabs of
162 Saradi, ‘The Use of Ancient Spolia in Byzantine Monuments’, p. 395.
163 Ibid. p. 395.
164 D, Kinney, ‘Roman Architectural Spolia’, Proceedings of the American Cultural Society, Vol. 145, No. 2,
(2001), pp. 141-142.
165 Ibid. pp. 141-142.
166 Elsner, ‘From Culture of Spolia to the Cult of Relics’, p. 152; B. Brenk, ‘The Use of Spolia from Constantine to
Charlemagne’ Dumbarton Oaks Papers: Studies on Art and Archeology in Honor of Ernst Kitzinger on His
Seventy-Fifth Birthday, Vol. 41, (1987), pp. 103-106.
Candidate No: 122765 32
marble were removed even from tombs to decorate porticos and banquets.167As indicated
earlier, this traditional construction activity was designed to give the monument prestige.
Spolias were not used for simple purposes such as supporting columns and entablatures. They
emerged from the classical tradition, especially the Roman, and with their ornate appearance
had symbolic meaning, recalling Roman culture, where they were used to furnish important
monuments. These can be interpreted as containing apolitical message, as in the case of the
statues in the Hippodrome. Other popular opinions regarded the spolia as both symbols of
victory and artistic merit, whose meaning had been changed by deploying it for new purposes.
As in the case of converted temples and their statues, the views on the practice of resorting to
spolia in Byzantine monuments were not unanimous.168 The churches were also decorated to
make them the most magnificent and prestigious buildings in the area. When Constantine
ordered Makarios of Jerusalem to make the Holy Sepulchre the most spectacular building in
the city slabs of marble and columns from pagan sites were earmarked.169 In the case of the
Basilica St John Studion and Theodosius’ Hagia Sophia, decorated porticos and naves were
seen to reflect both the legitimacy of the Emperor and the magnificent architecture of
Christianity.
Although spolia from ancient monuments provided ready materials, their usage and design
brought to mind different interpretations. Moreover, decorating with contemporary carved
marble revetments was also popular in Early Byzantium. It is therefore clear that the builders
did not rely on readymade materials but rather shows the tendency of Byzantine artists to
explore new arrangements. As Brenk finds, the usage of spolia in the Constantinian period
was not due to economic reasons or a lack of artistic creativity. Had economy been the reason,
Constantine would not have been in a position to construct the Lateran Basilica. This was a
deliberate building program.170 The combined character of Roman with Christian elements
marked a new aesthetic tendency. The Lateran Basilica, for example, was constructed to fulfil
the needs of the Christian religion and appealed to Christian worshippers even though it was
decorated with classical elements. This style to emerge under Constantine’s rule was
interpreted as a new aesthetic, which favoured ‘variety’ in basilicas rather than ‘unity’.171
167 The Theodosian Code, 9.17.4; Saradi, ‘The Use of Ancient Spolia in Byzantine Monuments’, p. 396.
168 M. F. Hansen, The Eloquence of Appropriation: prologemena to an Under-standing of Spolia in Early Christian
Rome, (Rome, 2003), p. 39.
169 Eusebius, Life of Constantine, 3. 30-32
170 Brenk, ‘The Use of Spolia from Constantine to Charlemagne’, p. 105.
171 Deichman, Die Spolien in Der Spatantiken Architectur, p. 8; Brenk, ‘The Use of Spolia from Constantine to
Charlemagne’, p. 105.
Candidate No: 122765 33
Spolia were generally used for the creation of visual effects; by using variety in a context that
evoked Roman architectural tradition, the new construction lost its association with its
antecedents, which had canonical use.172 Scholars define this arrangement as asymmetrical. It
was the combination of classical aesthetics with Christian aesthetics173 and was also believed
to be the dematerialised decoration popular in Byzantine architecture, representing the
spiritual meaning offered by the new religion’s otherworldly ideals.174 Both maintained their
entrance decoration and created specialised interior spaces. By combining decorative styles it
represents the combined forces of Christian religion and this was also interpreted as the sign
of a complicated church structure.175
Theological interpretations reveal the same attitudes towards the use of spolia. Pagan
materials inside churches denoted legitimacy for the emperors, as they were interpreted as
connoting the defeat of paganism and the rise of Christianity. Using triumphant arches or
composite capitals generally indicated the triumph of Christianity or of the Emperor.176 As
mentioned with regard to the construction of the Temple of Marneion, the saint ordered that
slabs be taken from the most sacred part of the temple and installed in the churches, especially
on floors, so that they would be stepped on.177 This was to show the demise of pagan religion.
According to Theodoret, materials from churches could be purified by the simple act of reusing
them in martyr churches. This is evidence of the same attitude to slabs of marble as to
entire statues or temples.178
Spolia also represented the rebirth of religion and salvation. The use of architectural elements
of temple in churches metaphorically stood for the birth of a new religion. The demonic and
evil atmosphere attributed to temples was seen to be vanquished in a holy place and baptised
worshippers in purified architecture. Scholars have made a link between the concept of
baptism and the recycling of materials from temples, arguing that baptism constitutes rebirth
by salvaging a soul from evil and marbles transferred to a consecrated place were similarly
reborn through purification with holy symbols.179 As it can be learnt from the New Testament
writer John, person who did not purified himself with ‘water’, he cannot enter the church
172 Brenk, ‘The Use of Spolia from Constantine to Charlemagne’, p. 106.
173 Saradi-Melendovici, ‘Christian Attitudes toward Pagan Monuments’, p. 52.
174 Ibid. p. 53.
175 Hansen, ‘Meanings of Style’, pp. 71-72.
176 B. Brenk, ‘The Imperial Heritage of Early Christian Art’, in Kurt Weitzman, (ed.) Age of Spirituality: Late
Antique and early Christian Art, Third to Seventh Century, (New york: Princeton University Press, 1978), p. 47.
177 Mark the Deacocon, Life of Porphyry, ch 76, trans. C. Mango, The Art of the Byzantine Empire, p. 31.
178 Saradi, ‘The Use of Ancient Spolia in Byzantine Monuments’, pp. 404-405.
179 Ibid. p. 422.
Candidate No: 122765 34
which is ‘kingdom of god’.180 And according to Peter the water symbolises baptism, and it
saves people by ‘resurrection of Christ’.181 This is the case both in the context of converting
temples and using their materials in churches. This metaphorical explanation can also be
found in the Codex of Theodosius as the law code referred to the notion of rebirth in the
context of buildings made from spolia.182 The architectural sculptures transferred from pagan
buildings to Christian monuments symbolised the soul of the human reborn into the Christian
faith, architectural sculptures were also reborn by using them for new purposes. The
interiorisation of Byzantine churches, that is, decorating the interior of the churches to make
the inside more spectacular then outside, became a sign of rebirth and the new religion. This
practice emphasised the importance of the inside of the Byzantine churches, in contrast with
its role in pagan services; the religious services inside the Byzantine church was practiced for
spiritual fulfilment and salvation. 183
The explanation for using spolia in Byzantine monuments and classical pagan statues in
Christianity was an important issue because of its relation with classical motifs, which
decorated Byzantine architectural sculpture. In Early Byzantium the tradition of urban
planning and building displayed similar features. However, connecting elements of
Christianity with pagan objects or classical objects that were used to embellish pagan
monuments created a new identity for Byzantine art made up of different motifs and a new
iconography. This can be observed in the Theodosian Hagia Sophia, where classical porticos
and adornments of architectural sculptures create a work of art that blends styles and thus
grants new meaning. The decoration of public urban spaces might resemble pagan cities, but
the new interpretation given to the statuary altered the situation, demonstrating that this was
no longer a pagan city. The same can be said for the churches. Although classical spolia or
contemporary architectural sculptures were used in the construction of churches, and
functionally were the same, their pagan meaning was suppressed to give new significance to
the holy place. The embellished marble materials did not glorify pagan temples but Christian
churches.
180 John 3:5.
181 Peter 3: 21.
182 The Theodosian Code, 15. 1. 19.
183 Hansen, Eloquence of Appropriation, p. 138.
Candidate No: 122765 35
3. How did architectural sculpture gain new meaning in the Byzantine church? The perception of marbles in a church context.
The previous chapters have presented extensive building activity in Constantinople and demonstrated the emperors’ desire to decorate their new capital. It is obvious that the intention of using spolia and antique statues, whether in churches or public buildings, was for the purpose of establishing an impeccably ornate city. The use of spolia had different purposes: to enhance the beauty of a church, to assert triumph or to celebrate rebirth. Furthermore, churches were decorated in the classical style albeit developed by Byzantine craftsmen according to their own taste. The argument relating to spolia and antique statues also applies to architectural sculpture since they too were decorated in a combination of classical and Christian style. Architectural sculptures may have symbolised the rebirth of Christianity after paganism. As spolias and pagan temples were purified with crosses and inscriptions or by placing them inside a religious building, so Christian worshippers were purified by baptism. This also holds true for classical motifs in architectural sculpture; as mentioned earlier, the architectural sculptures decorating the propylaeum of the old Hagia Sophia combines classical and Christian motifs. This was the birth of new architectural decoration. As a symbol they could represent the rebirth of Christianity, since the spolia and motifs were translated from pagan into Christian decorations, therefore, Christians translated their belief and their religious place.184 This combination of past and present represents new attitudes to rebirth in Christian art, at a time when the aspiration was to change the architecture. Elsner wrote about the spolias in the Arch of Constantine, arguing that they were reflected the fusing of two traditions of decoration. Like the scenes in the Arch, Old Testament scenes such as ‘Jonah’s encounter with the whale’ and the ‘sacrifice of Isaac’ to represent Christ’s resurrection, brought together past and present so that the past was made meaningful in the present. Re-carving and changing the meaning of imagery emphasises the various developments in the history of decoration.185 The idea of triumphalism stems from the belief that for theologians it denoted the victory of the church over paganism. Similarly, the carved cross on architectural sculptures may have referred to the eradication of paganism as the crucifix was meant to signify both purification and supremacy. This celebration of dominion was also emphasised by constructing triumphal arches in church entrances, such as in the old Hagia Sophia.
184 Hansen use the term ‘Translatio’ for the reuse of classical materials inside the Christian basilica. Hansen, The Eloquence of Appropriation, p. 263.
185 Elsner, ‘From Culture of Spolia to the Cult of Relics’, p. 176.
Candidate No: 122765 36
Apart from their metaphorical meaning of rebirth and triumph, they were also used for aesthetic reasons, and this aim to create a magnificent house of god was similar to pagan ideals. The effect of the precious materials applied was the same, as worshippers of both religions perceived that they were entering an exceptional site where their perception of the works of art varied according to the religious significance attached to the different parts of the edifice. Upon entering, the viewer’s eye first met the statues, whereas arrival at the sanctuary introduced ‘contemplation’, which, combined with the ‘divine itself’, converted the original meaning. Thus, inside the sanctuary, statues and objects became secondary to contemplation.186 This illustrates the way in which the importance of the place affected the worshippers’ perception of the art. While entering the pagan temple created awareness of access to a significant place, upon reaching the sanctuary they understood that the objects situated there were far superior. The relative importance attributed to the different parts of the building also gave the art objects situated inside weight and increased their spiritual meaning. Therefore, the works of art acquired meaning beyond their external appearance. The perception was similar in Christianity. Just as the temple had been perceived to house the divine and had been decorated with cult statues, the belief of Christian beholders led them to see the church as relating to the spiritual realm and being the house of God. Since, in antiquity there were metaphorical and spiritual meanings of statues and other art works, such as evil, demons and gods, this was represented in architecture and art. Similarly in Christianity, there was a belief in angels, Christ and god’s dwelling in the church. Both sets of images were spiritual.187
Besides the worshippers’ similar perceptions of two different buildings, as pagan and Christian, it cannot be denied that there were fundamental differences between pagan temples and Christian churches. As discussed, the Byzantine church was constructed according to the needs of Divine Liturgy, in other words the needs of Byzantine worshippers, which brought people together in a way that was not seen in pagan temples. Inside the Byzantine church the most important thing was being in the house of the Christian god, so that the interior was more significant than the exterior.188 Since Christians were entering the place where god dwells, as Procopius says; the visitors’ ‘mind is lifted up to god and exalted, feeling that he
186 J. Elsner, Art and the Roman Viewer: the Transformation of Art from the Pagan World to Christianity, (Cambridge: Cambridge University Press, 1995), p. 91.
187 For the pagan divinity and raising Christian belief see; Brown, Authority and the Sacred: Aspects of the Christianisation of Roman World, p. 8.
188 Hansen, the Eloquence of Appropriation, p. 142.
Candidate No: 122765 37
cannot be far away, but must especially love to dwell in this place which he has chosen.’189
Although the tradition of decorating the house of god was similar, the form was used for
different purposes. From its entrance through to the apsis, the Christian church was designed
for the new religion, which could be interpreted as rebirth or the mutability of faith. As
Mathews argues, pagan temples were only for priests who entered the temple to give
sacrifices to the gods, while members of the clergy were kept outside. However, the Christian
church was everyone and people congregated there and sang hymns. The columned naves
enabled worshippers to actively participate in the liturgy. This democratisation and different
acts in the service distinguished the Christian church from pagan temples.190
The church also provided the congregation with scope to indulge their senses as the building
allowed worshippers to respond through sight, sound, smell, touch and taste. Its architecture,
liturgy, hymnology, furnishing and decoration created different echoes and lent it a sacred
appearance, which all contributed to transforming the building into a religious place.191
Unlike pagan temples, Christian churches changed the focus from the outside to the inside.
Besides the salt marble decoration of entrances, the interior of the Byzantine church was
embellished with different works of art. The decoration consisted of floor and wall mosaics,
paintings, ornamented friezes and capitals.192 Comparing the exterior and interior decoration
it is apparent that church exteriors were constructed with bricks, instead of porticos and
narthexes. The shift in focus in terms of ornamentation represents the differences in religious
practice. Unlike in paganism, in Christian worship religious rituals did not take place outside;
Christian religion differed substantially from pagan ones. The sacrifice was practiced inside
the church in order to gain the salvation of the soul, rather than outside the temple.193 This
interiorisation, which is the most important feature of the new architecture, may reflect the
interiorisation of religion, where every worshipper had a private interaction with God inside
189 Procopius, Buildings, 1.1.60-61., Trans. by H. B. Deeing and Glanwille Downey, vol. 7, (London: William
Heineman, 1961), p. 27.
190 T. F. Mathews, The Clash of Gods: A Reinterpretation of Early Christian art, rev. ed. (Princeton N.J.: Princeton
University Press, 1999), pp. 92-94.
191 K. E. McVey, ‘Spirit Embodied: The Emergence of Symbolic Interpretations of Early Christian and Byzantine
Architecture’, in Slobodan Curcic and Evangelia Hadjitryphonos, Architecture as Icon, (London: Yale University
Press, 2010), p. 39.
192 R. Kieckhefer, Theology in stone: Church Architecture from Byzantium to Berkeley, (Oxford: Oxford University
Press, 2004), p. 100.
193 F. Barry, ‘The Symbolism of Coloured Marbles in the Visual Arts and Literature from Antiquity until the
Enlightenment’, Doctoral Thesis Submitted to Graduate Scholl of Arts and Sciences, (Columbia University, 2011),
p. 141.
Candidate No: 122765 38
the building. In order to understand the differences between Byzantine churches and pagan temples and the interiorisation of practices and buildings, it is of interest that in the anonymous Kontakion of Hagia Sophia the religious services inside the church was described thus:
here sacrifices of the mind and spirit and in truth, not in reeking smoke and streams of blood, are offered untiringly as an odour of sweetness unto god, the tears of prayers with godly fear and the melodies of psalms which prompt compunction, accompanied by the instruments of spirit putting to sleep the demonic urges of the passions and instilling the temperate pleasure which leads to that salvation given to mankind by Christ.194
Instead of its religious practices, the Christian church as a whole was considered as image, it represented Jerusalem while the columns were interpreted as images of the apostles.195
In this context the architectural sculpture presented in the first chapter, had a different role to its function in pagan temples. It is therefore appropriate to consider it within the church context since, like spolia, it had different meanings inside or outside the Byzantine church. Although with the exception of some examples that were decorated with lambs, doves and vine leaves, sculptures did not have Christian symbols, their function was to decorate the house of god and create a religious aesthetic. With its remarkable porticos, narthex and decorated interiors, the Christian basilica became the favoured building in Christian cities. Spolia translated as the triumph of the church and the new decorative style in early Byzantium. Similarly, architectural sculptures in Byzantine churches with their resemblance to classical ornaments provide combined arrangements on the colonnades, porticos and narthex of the churches and impacted significantly on the beauty of the church in such a way that it later came to be seen as a divine aesthetic.
With its classical decorations, the Basilica of St John Studion presents traditional features which made it a magnificent place. With the Basilica belonged the monastery, which was designed to accommodate monks and worshippers. It housed and educated one thousand monks. Its entrance with the atrium provided the transitional space that separates the church from other buildings. The interior area was designed for the needs of large congregations of the faithful. On the outside, the roof created the appearance of a basilica to dissociate it from
194 A. N. Palmer and L. Rodley, ‘The Inauguration Anthem of Hagia Sophia in Edessa: a New Edition and Translation with Historical and Architectural Notes and Comparison with a Contemporary Constantinopolitan Kontakion’, Byzantine and Modern Greek Studies 12, (1988), p. 143.
195 In Eusebius’ Vita Constantini, there is knowledge about how the parts of the building symbolised Christ and apostles, Eusebius, Life of Constantine, 3.38; Hansen, Meanings of Style, p. 74.
Candidate No: 122765 39
other buildings.196 The sanctuary, including the altar, which symbolised the throne of Christ,
was located just before the apse. This basilica like others reflected the nature of ceremony.
The central area of the nave was designed for the congregation of worshippers in religious
practices and also served to accommodate processions. The liturgy of St John can be
explained thus; first the entrance which began the liturgy with entrance along the nave from
the narthex. In this ceremony, there was praying and singing and on the altar the gospels
representing Christ were “enthroned”. After this ceremony came the liturgy, in which
readings from Old Testament and new testaments was practiced. Psalms were sung during this
ceremony. After which was the great entrance, in which the Eucharist was began with the
rejection of catechumens and the closing of doors. The congregation then recite the words of
the Nicene Creed and the communion prayer from memory. These religious practices
illustrate the church’s role in bringing the congregation together. In these ceremonies the
clergy and congregation are part of a sacred ritual. After the final ceremony of ‘thanksgiving’
the congregation leaves.197
The Studion also had a spiritual influence, housing educated and religious monks. In the
Studion, the monks lived in a place where Christianity was always being practiced. Although
the monks lived under restricted legislations, to live impeccably in a religious place was a
pleasure for the monks and worshippers. As can be understood from the writing about the
Studion; the visitor to Studion indicated that the place they were living was the representation
of palace. It was surrounded by a garden, an olive yard, and a vineyard. And he continued
that ‘Before me are graceful and luxuriant cypress trees. On one hand is the city with its
market place; on the other, the mother of churches and the empire of the world.’198
According to various emperors St John Studion offered shelter to protect Christianity and
separate Christians from the unreliable world outside.199 Architectural sculpture adorned this
religious and important basilica and was interpreted by those living or worshipping there
through a Christian lens. Artefacts that had hitherto decorated temples or other pagan
monuments, now had the role of adorning the house of God. The doves and crosses on the
friezes are evidence of the Christianisation of classical motifs. These common artistic
symbols, presented in previous chapters, were also used for purifying pagan architectural
196 Millingen, Byzantine Churches in Constantinople, pp. 49-50.
197 R. Ousterhout, ‘The Holy Space: Architecture and Liturgy’, in Linda Safran (ed.) Heaven on Earth: Art and the
church in Byzantium, (University Park: Pennsylvania State University Press, 1998), pp. 84-87.
198 E. Marin, De Studio Coenobio Constantinopolitano, (LeCoffre, 1897), p. 11; referenced in Millingen,
Byzantine Churches in Constantinople, p. 43
199 Millingen, Byzantine Churches in Constantinople, pp. 41-43.
Candidate No: 122765 40
elements. Similarly, the significance of the pomegranates decorating the capitals of columns
cannot be underestimated. The palmettes, acanthus leaves have different sources, are all
realistic decorations that stem from a classical vocabulary, yet in Christianity they were
valued for their symbolic meaning. The poem written by John Geometres in the 10th century
describes the church as a representation of heaven with its decorations in the exterior and
interior. The interplay of colours and beautiful pictorial compositions were understood as
meadows; the divine and ‘imperceptible’ world was represented by light and its ‘metaphysical
symbolism’; decorative mosaics in the apse signified the spiritual world; bright and columns
embedded with precious stones recalled ‘rivulets of molten snow pouring onto the sparkling
stones of the floor as if into the sea’; and smooth stones created the impression of a ‘calm
sea’.200
Although there is no evidence to indicate how the old Hagia was perceived at a structural
level, the materials give the impression of a magnificent gateway whose decorative elements
welcomed worshippers to paradise. As stated above, in Late Antiquity the design of church
entrances was similar to that of pagan buildings. However, the depictions changed over time.
They came to include representations of the apostles with doves and Christ with a palm tree.
Positioning a cross in the middle of a frieze may be understood as simply a change in
Byzantine decoration or, at a more significant level, as aiming to change perceptions.
Entering a Byzantine church was like entering heaven, providing a spiritual life separate from
the world outside. Even though the gates of the Basilica of St John Studion were decorated
with profane art, they symbolised entry to the most important building of all in the city. Some
theories take the entrance of the church as a metaphor for the desert, which in turn was linked
to the lives of monks and hermits.201 In the medieval world, the desert was interpreted as the
border between the habitable world and the uninhabitable world, and the entrances of
Christian churches had the same function of separation.202 With its richly decorated porticos
the portal of the old Hagia Sophia emphasised the gates to paradise. Its triumphal arch and
decorative schema led into a spiritual place. In the Basilica of St John Studion the situation
was similar, as monks, worshippers and emperors entered the place where Christianity was
200 St Geometres also give the idea about the mosaic in St John the Studion. In W. Woodfin, ‘A Majestas Domini
in Middle Byzantine Constantinople’, CahArch 51, (2003/2004), pp. 45-47; H. G. Saradi, ‘Space in Byzantine
Thought’, in Slobodan Curcic and Evangelia Hadjitryphonos, Architecture as Icon, (London: Yale University
Press, 2010), pp. 103-104.
201 G. Gerov, ‘The Narthex as Dessert: The Symbolism of the Entrance Space in Orthodox Church Buildings’, in
Ritual and Art, ed. by Pamela Armstrong, (London: Pindar Press, 2006), p. 145.
202 Ibid, p. 145.
Candidate No: 122765 41
practiced. However, it also had a library and facilities to provide religious education.
Moreover, entering a church also meant focusing the attention for the purpose of
purification.203 In Christian and Jewish traditions the concept of space was metaphorical and
was considered metaphysical. Paradise and the house of God were descriptions of a celestial
place and they were also represented in art and architecture. The entrance gave access to the
atrium, which was representative of paradise. This garden and the architecture of the church
were the earthly images of a ‘heavenly world’.204 As Constantine Manasses describes, the
garden was beautifully and ornamentally planted with trees, herbs, fruits and flowers of
various colours to create the effect of paradise.205
Inside the Byzantine church worshippers felt that they were inside the holy world, namely the
house of God. Contemplating the symbolic aspect of the church, Eusebius described it as a
“living temple”, and its walls and columns as made of “living and moving stones”, and further
noted that it was illuminated brilliantly.206 The church was also considered as the image of
heaven. Unlike the architecture of pagan temples, the Christian church was the metaphoric
representation of both heaven and earth. In terms of its architecture and profane art it
symbolised earth, but imbued with a religious aesthetic, the church and its decorations gained
a heavenly appearance.207 This argument is supported by Procopius’ discourse on the Hagia
Sophia, as he comments on the harmony of the parts, the abundance of light and its reflection
on the marble as well as the other works of art that create a celestial atmosphere inside the
building.208 The architectural form of the Christian church with its smooth spaces, different
arrangements of parts and rich ornamentation brought viewers to appreciate this as a heavenly
space.209 The ornamental plants and animals such as the pomegranates and doves in
architectural sculptures of St John Studion and the lambs and palmettes in the old Hagia
Sophia, also represented divine creation. God’s creation of the world depicted through the use
of precious materials was common in Christian literary and exegetes. In exegetes considered
the physical appearance of heaven and earth to reflect the presence of God, the ‘invisible
creator’. Although the appreciation of architectural patterns, religious activities, burning
incense and light effects all constituted earthly experiences, they were physical expressions of
203 Kieckhefer, Theology in Stone, p. 63.
204 Saradi, ‘Space in Byzantine Thought’, p. 92.
205 Constantine Manasses, Chronike Synopsis, ed. by Immanuel Bekker, (Bonn: Impensis Ed. Weberi, 1837),
11.181-13.230; referenced in Saradi, ‘Space in Byzantine Thought’, p. 92.
206 McVey, ‘Spirit Embodied’, p. 18.
207 Saradi, ‘Space in Byzantine Thought’, p. 99.
208 Procopius, Buildings, I.28-35 Trans. By. H. B. Dewing and G. Downey, vol. 7, p. 17.
209 Saradi, ‘Space in Byzantine Thought’, p. 100.
Candidate No: 122765 42
god and signs of the presence of the invisible.210 This combination of heaven and earth in
church architecture starts with its architectural elements. The sanctuary was the symbol of
earth, whereas the nave and the other parts signified an earthly bridge to a heavenly place. As
Saradi suggests, these ‘perceptible’ elements made up of architectural form, decoration and
ceremonies created through their symbolic meanings an ‘imperceptible’ world.211
The symbolism of the church did not merely relate to heaven, but was also considered as a
man. His soul was equated with the priesthood, his mind with the sanctuary and his body with
a nave. This also shows that the church was the image of body and soul.212 The description of
the church as a symbolic holy space can be also read from the Patriarch Germanos; ‘the
church is a heaven on earth wherein the heavenly god dwells and walks.’ It is the
representation of the crucifixion, the burial and the resurrection of Christ. ‘It is glorified
above Moses’ tabernacle of testimony. It was prefigured by the patriarchs, foretold by the
prophets, founded by the apostles, and adorned by the hierarchs.’ Germanos further
interpreted the different architectural sections. He took the conch of the apse to symbolise the
cave of Bethlehem in which Christ was born and buried. The bread kept on the altar was
believed to come from heaven, and the altar itself was seen as the representation of the ‘place
where Christ was buried’. Bread was the metaphorical meaning of sacrifice, and specifically
‘bloodless sacrifice’.213
Balai of Aleppo described the church as an earthly place representing heaven and the
worshippers inside as representations of angels. ‘It is not ordinary dwelling, since heaven’s
lord dwells in it.’214 For Sophronios, the patriarch of Jerusalem, the church with its liturgical
ceremonies was a likeness of heaven, and the people who celebrated these ceremonies
imitations of the ‘angels of god in heaven’. In Christological terms the church symbolised the
earthly and heavenly nature of Christ. The composition of the church into two parts, namely
the sanctuary and the exterior space, symbolises the ‘twin nature of Christ. Godly and at the
same time human. The one part is visible and the other part is invisible’. Moreover, the church
was perceived as the physical realisation of human nature and its congregation of ‘soul and
210 Saradi, ‘Space in Byzantine Thought’, p. 101.
211 Ibid. p. 102.
212 Ibid. p. 102.
213 Ousterhout, ‘The Holy Space’, p. 99.
214 For the translation of Balai’s poem see; K. E. McVey, “The Sogitha on the Church
of Edessa in the Context of Other Early Greek and Syriac Hymns for the Consecration of Church Buildings,”
Aram 5 (1993), p. 359; McVey, ‘Spirit Embodied’, p. 55.
Candidate No: 122765 43
body’.215 Apart from seeing the church as Christ itself, New Testament writers defined the
church as the wife or bride of Christ. Members of the church represented the body of Christ
and were likened to living stones inside the church built into spiritual space.216 The interior
space of the church, with its symbolic parts and decoration, reflects an image that has spiritual
power and grants beholders a sense of mysticism. It is a place whose visual elements create
the sense of touch to feel heavenly invisible. This spiritual admiration is not apparent in pagan
temples.217 Apart from its exterior and interior symbolic parts, the windows constitute another
important element that contributes to making the Christian church come across as a holy
place. Since they brought earthly light from outside, windows were believed to improve the
mystic ambience inside the church. Blending earthly and heavenly light inside the churches
induced the meditation that allowed those present to feel as if they were in heaven. Within the
church interior, earthly light was guided to the divine presence and magnified the impression
of heaven.218 In churches enhanced by spiritual light, the experience of seeing images was
different as the light reflected materials such as mosaics, wall paintings and marble, making
works of art desirable to look at.219
When architectural symbols, ceremonies and humanity came together inside the building, the
church became a metaphoric vision of holy land. Believers entering the church for ceremonies
were active viewers, who contemplated works of arts while practicing their faith. Worshippers
either placed their body in this spiritual world or were active inside the church. Therefore,
they were not just seeing the divine world. Being active inside the church, led worshippers to
use not merely sight but in fact all their senses.220 James relates how worshippers acted in
religious services and what they derived from participation. ‘The viewer, or member of the
congregation, was not able to remain a passive, isolated spectator but was compelled to
engage with what was going on, with the church itself and with other worshippers.’221 In the
case of services, Christian churches welcomed a variety of ceremonies including religious
services and imperial festivals and processions. Thus the emperor celebrated his processions
215 Saradi, ‘Space in Byzantine Thought’, p. 103.
216 In Eph. 4:1-16 Paul interprets the worshippers as body of Christ and in Eph. 5:21-13 Paul defines the church
as bride of Christ, referenced in McVey, ‘Spirit Embodied’, p. 43.
217 Saradi, ‘Space in Byzantine Thought’, p. 100.
218 P. Reuterswärd, ‘Windows of Divine Light’, Journal of Art History, vol. 51. No. 3, (1982), p. 95.
219 James, ‘Senses and Sensibility in Byzantium’, p. 527.
220 Ibid. p. 524.
221 Ibid. p. 525.
Candidate No: 122765 44
in the Basilica of St John Studion.222 During these ceremonies the churches were lit and filled
with decorated, reflective materials with gold and silver surfaces. The impact of images and
other works of art changed according to the atmosphere in the church.223
During religious practice, burning candles, oil lamps and incense lent a mystic air. The church
filled with pleasant smells with religious associations. The belief that made incense significant
was that it was offered as a gift at the shrines of saints. This smell did not just exert physical,
but also spiritual influence. Within the symbolic architectural context this delicate smell was
perceived to create a divine air in a holy place.224 Through the symbols of doves and light
effects as well as the sweet smell of incense, the interaction of the senses created the
impression of the Holy Spirit in the invisible, spiritual realm.225 Additionally, tactile contact
with elements such as doors, columns, icons, patens and chalices inside the churches meant
that worshippers used their sense of touch and created physical interaction with holy objects
inside the church.226 Apart from touch and smell, the liturgy entailed singing and reading the
words of the divine. Within the Byzantine church, the acoustics in domed buildings especially
gave rise to remarkable sound effects, although vaulted basilicas too had particular resonance.
Hearing significant words and preaching in praise of god also contributed to communion with
a divine presence.227
It is obvious that such appeals to all the senses, especially in ceremonies, encouraged
worshippers to look at works of art from a different perspective. Hearing, smelling and
touching provided an experience of the meaning of works of art, which was to enhance the
holy space. These are the main differences that separate Christian churches from other
buildings. In Christian worship, the congregation used all their senses to engage with God.
Sight alone was insufficient to realise the importance of the edifice or works of art it
contained. Using all senses led visitor to cross the gap between the visible and the invisible,
the sensible and the insensible. Experiencing art objects by combining all senses, brought an
understanding of the spiritual meaning of the art.228 Such exposure to art that involved all
222 The basilica of St John the Studion welcomed the imperial Processions as well. See; Freely and Cakmak,
Byzantine Monuments of Istanbul, p. 66.
223 James, ‘Senses and Sensibility in Byzantium’, p. 531.
224 Ibid. p. 525.
225 Ibid. p. 525.
226 For the tactility of icons see; B. V. Pencheva, ‘The Performative Icon’, The Art Bulletin, vol. 88. No. 4, (2006),
p. 631; also see; James, ‘Senses and Sensibility in Byzantium’, p. 526.
227 James, ‘Senses and Sensibility in Byzantium’, p. 527.
228 Ibid. p. 533.
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senses allowed for an encounter with two different perspectives, namely the physical and the
spiritual.229
This symbolic meaning of the church and its religious function made it the most favoured
building within Byzantine Christianity. The decoration enriched a place of great significance
and in this context the perception of architectural sculpture had changed. It is clear that apart
from having a function, every part of the church such as sanctuary, colonnades and entrances
had metaphoric meaning. In addition, the ceremonies had a significant effect on the visual
realm of architectural sculpture and a capacity to alter it. In the church context, whether
intentional or not, the meaning of classical motifs changed. They were purified as spolia and
pagan temples were cleansed of their idols.
The translation of style was a common approach Byzantine churches; thus by decorating the
porticos and interiors of churches with marble classical reality was turned into religious sight.
The decoration of entablatures did not have a practical function in architectural structure, but
merely served as embellishment. Reusing classical motifs asymmetrically may be understood
a re-examining of earlier decorations. Dynamic motifs create beauty that has rhetorical
meaning inside the Byzantine church. This is a similar aesthetic that can be found everywhere
in Christian art.230 This metaphorical aesthetic was used to show the beauty of the Christian
basilica. Its beauty was a symbol of the importance of the building. It appeals to the senses
and attracts attention. Hypatius of Ephesus’ writings suggests that the material decoration of
sanctuaries was important ‘because we permit each other of the faithful to be guided and led
up to the divine being in a manner appropriate to it’, since even materials which created
beauty inside the sanctuary provided guidance for people to see the divine presence.
Interrogating this material with light in the sanctuaries provided ‘intelligible and immaterial
light.’231
The beauty of the church can be also interpreted as an offering to God. Commenting on this
notion, Adams stated that churches with every detail and decoration shone in a sacred way
where people surrounded by the softened stones, richly decorated arches, colonnades and
vaults and illuminated with light from windows, attracting the sense of sight. This is like an
229 James, ‘Senses and Sensibility in Byzantium’, p. 531.
230 Hansen, ‘Meanings of Style’, p. 77
231 Hypatius of Ephesus, Fragment of “Miscellaneous Enquiries” Addressed to his Sufragan bishop Julian
Atramytion, in Cyril Mango, The Art of the Byzantine Empire, p. 116.
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offering of thanks to God.232 With this symbolic vision worshippers congregated in Divine
Liturgy and felt that they were in heaven. Decoration in religious place provided a ‘sacrament
of grace’.233 Its physical appearance and natural decoration, recalled a meadow, the
metaphoric representation of paradise, and indicates how architectural sculpture played a
significant role in altering the appearance of holy space. As mentioned, paradise was thought
of as a garden, and these marbles, which were decorated with flowers and animals, increased
the impression that the church was heaven on earth. The effect of beauty and using
architectural sculptures in order to create magnificent monuments recovered from pagan
religion and were given new meaning in Christian thought, which gives metaphoric meaning
to architecture and artworks.234 Procopius’ appreciation of the Hagia Sophia may offer some
insight into the beautiful effect the marbles in Byzantine churches had. He stated that the
precious columns and stones that were used to embellish the church represented a
‘blossoming meadow’. Their visual appearance indicated that the church was not built by
human beings, but was the creation of God; in other words ‘god himself built the church’.
‘Thus, the mind exalted toward god, convincing the observer that god dwells in the very
building.’235 Their aesthetic attracted people’s attention, and it is therefore unsurprising that
the decorated marbles, which echoed a blossoming meadow, can also be found in ancient
literature. In Christianity, this feature allowed worshippers to make a connection between the
physical and the spiritual world. Although in the ancient world it was used to express beauty,
in Christianity it creates the mystic air that provokes a sense of the divine.236
Marbles as both decorative and functional materials inside the church allowed spectators to
idealise materials and their meaning. Just as the senses and symbolic structural parts of the
church led the viewer to recognise the church as god’s dwelling, and perceive invisible
through visible objects, so marbles were the sign of divine presence.237 In the case of the
Basilica of St John Studion, green marble columns were used in the colonnades. Combining
these with floral decorations gave the church spiritual influence and at the same time merged
the earthly and heavenly nature of church decoration. Leo VI, described the church built by
Stylianus Zaoutzas; there were four columns which were decorated in green ‘such as the earth
232 R. A. Cram, Church Building: a Study of the Principles of Architecture in Their Relation to the Church, (Boston:
Marshal Jones, 1924), p. 8.
233 Kieckhefer, Theology in Stone, p. 99.
234 Saradi, ‘Space in Byzantine Thought’, pp. 99-100
235 Procopius, Buildings 1.1.59-62, referenced in Saradi, ‘Space in Byzantine Thought’, pp. 87-88.
236 Saradi, ‘Space in Byzantine Thought’, pp. 87-88.
237 F. Barry, ‘The Symbolism of Coloured Marbles’, p. 153.
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puts forth at the end of winter... Support the pendent arches. The ground is covered all over
with the hues of various flowers… enclosed by a contexture imitating the different flowers of
the earth.’238 Additionally, Thesselian marbles, which were of green colour, were used to
decorate Justinian’s Hagia Sophia, increasing the value of decoration and heightening the
viewer’s desire to look at.239 Columns and floors reflected natural vegetal imagery. With the
church standing for heavenly Jerusalem, the worshippers inside represented living stones, and
the stones in turn symbolised prayers. The church, which was considered as the bride of
Christ, was brilliantly decorated with precious marbles.240 Such beauty was thought of as
heavenly so that by extension the bride of Christ too became beautiful.
Harmanepoulos described the columns of the church of the Acheiropoietos at Thessaloniki.
The columns symbolised the breath ‘rising from earth to heaven’. Despite the earthly
materials inside, the church itself not belong to earth. The precious marbles created a spiritual
impression.241
Precious and polished marbles were believed to be suitable materials for reflecting light. This
effect symbolised god’s natural presence, and as mosaics and paintings inside the churches
gave off divine light when they combined with natural light, marbles also transformed divine
light with their naturally brilliant appearance.242 The luminous effects of marbles were also
commonly sought in the pagan tradition because of their capacity to illuminate the interior
and attract the eye of the viewer. Pliny describes their effects in temples, noting that although
the doors were closed, the interior of the temples shone, as if illuminated by daylight, since
the marbles possessed qualities that made the light become ‘enclosed within, rather than
transmitted from outside’.243 However, inside temples these effects were still felt to be
earthly, whereas in churches they became divine light. For instance, as Eusebius in his
ecclesiastical history explains the light in the church at Tyre (317 A.D.); the marbles acquired
divine meaning, faith was surrounded by light that was reflected by the highly polished
marbles in the baths and made the basking worshippers feel purified and ‘reborn in Christ’.
Therefore the marbles were built by the ‘men’s souls’. The church was then filled with
238 Leo VI, Sermon 34, in Cyril Mango, The Art of the Byzantine Empire, p. 203.
239 Barry, ‘The Symbolism of Coloured Marbles’, p. 215.
240 See; footnote 216.
241 Saradi, ‘Space in Byzantine Thought’, p. 105.
242 Barry, ‘The Symbolism of Coloured Marbles’, p. 135.
243 Pliny HN 36.46.163, cited in Barry, ‘The Symbolism of Coloured Marbles’, p. 172.
Candidate No: 122765 48
light.244 The fifth century Titulus in the Chapel of St. Andrew in Ravenna explains how it was
the relationship between light and marbles and the materials that drew light inside the
churches especially during ceremonies; either the light was conceived here or held hostage,
light has a nature that ‘reigns’ unreservedly. The light inside the church had a twin nature,
coming both from paradise and through modern windows. Even if the inside was not lit, the
building is filled with marbles which shine brilliantly, as does a ‘gleaming day’.245
Additionally John Geometres describes the lighting effect inside the Basilica of St John
Studion; the light which becomes spiritual inside the church gains spiritual meaning from the
expression of marbles and mosaic decorations. The feelings which people find within
themselves inside the divine world begin to emerge when they enter the church and place
themselves in a place illuminated with ‘incorporeal lights’.246
It can be concluded that architectural sculpture made by contemporary craftsmen was
employed either to decorate churches with the express purpose of evoking divine beauty and
the impression of divine presence, or to convey its own symbolic meaning inside the building.
Marbles were not created merely as objects of art. Just as mosaics and wall paintings
conveyed spiritual meaning gained from their surroundings, so architectural sculpture affected
the perceptions of the viewers. Thus, although they were drawn from natural, classical
symbols, these works of art provided different dimensions in the Byzantine church.
244 Eusebius, The Ecclesiastical History 10.4.64., trans. by. J. E. L. Oulton, vol. 2, (London: William Heinemann,
1957), p. 439.
245 Barry, ‘The Symbolism of Coloured Marbles’, p. 142.
246 Saradi, ‘Space in Byzantine Thought’, pp. 103-104.
Candidate No: 122765 49
Conclusion
This dissertation has explained that while some architectural sculptures resemble classical marble decoration or spolia, in Christianity they took on new meaning. As perceived when viewing, acquiring and critiquing art objects and architecture, marble revetments had a remarkable effects inside churches. These effects combined within the setting of Byzantine churches to provide a new perspective. Without doubt, the most important element affecting the interpretation and experience of viewing the marble revetments was the church itself.
As explained in the first chapter, the notion of decorating public buildings in Constantinople shared many similarities with the Roman tradition. In particular, artists combined classical art objects with Christianity in both traditions, as seen in Byzantine art in general. This style of decoration of public buildings in Constantinople was important because it indicated the ideals of Christian art, blending past and present and imbuing new meaning into statues or architectural elements from the past.
Drawing on the artistic traditions in Byzantium, Christians fulfilled their need to produce antique works of art and interpret them according to a Christian perspective. They took the form of art works and adapted them to the new religion. Some of the art works were used to signify triumphalism or rebirth and new religion. Some were simply used to create beauty. As an example, the arch of Constantine led people to propose several interpretations of this new style of decoration that combined past and present. The reliefs reflected both, the continuous activity of constructing triumphal arches, and political and theological thoughts.247 This was the same in Constantinople, where the Forum of Constantine, the Hippodrome, and Baths of Zeuxippos were decorated just as the Romans had decorated their cities in the past.248 The arch of Theodosius, despite having no figurative composition, reflects the same arrangements as a form. However, form was not considered as important, it was the meaning that Christianity attributed to these artworks or architectures that made them unique.
The translation of the classical can also be seen in architecture of late antiquity. During this era the form of the basilica was used but given new meaning. For instance, as mentioned above there were certain additions made to allow worshippers to fulfil their need for prayer. They took the basilica as an example, because it was constructed for people to congregate inside. Basilicas met the needs of the public in Roman culture, but in Byzantium they were
247 Elsner, ‘From Culture of Spolia, to the Cult of Relics’, pp. 149-184.
248 Basset, the Urban Image of Late Antique Constantinople, pp. 26-32.
Candidate No: 122765 50
used as religious places. It was not the form of the building which differentiated the Christian
buildings from pagan religious buildings; rather, it was the perception of the worshippers
while entering the church and the sanctuary. The interiorisation of the building, and the
religious activities performed therein meant Christian buildings differed entirely from pagan
ones. How the perception of the buildings altered, and the reason the form was not important,
can also be understood in reference to the conversion of the temple. The temple as a building
was considered to be the home of demons, although the inscriptions and crosses suggested the
building was the house of the Christian god. In the past the buildings were used for sacrifice,
which is bloody, but in Christianity the sacrifice and thanks was practiced via the sacrament
of the Eucharist without blood.249
In addition, clearing the temples of pagan religious practices changed perceptions of the
buildings. The entrance and sanctuary were no longer pagan places, they were now occupied
by Christianity. Although it was a political decision that temples could be opened and
regarded as artistic creations, in terms of religion, the pagan divinity in the buildings was
defeated by their use for Christian purposes. The same practice as that used for purifying
pagan temples was also used to change the meaning of statues and the other marble
revetments which situated in temples. Crosses were carved on the statues and marbles,
removing the demons that inhabited them. In a building, which is the house of Christian god,
where people are aware of the divine presence and architectural sculptures are welcome
creates a new understanding of the works of art therein. Marble revetments in Christianity lent
beauty to Christian buildings. Although the design of the decoration or form of the
architectural sculptures was similar to that of architectural sculptures used in pagan buildings,
they were used for new purposes. This purpose was to decorate the Christian building,
creating divine beauty within the churches. Therefore, they could be examined in terms of
their meaning within the Christian churches. Explanations about changes made to the natural
appearance of decorative elements furthers understanding of their artistic quality. However, in
Byzantine art, as mentioned, the objects were examined in terms of their spiritual and
metaphorical meanings. Evaluating architectural sculptures within the church context allowed
people to understand the ideals of Christianity changed the meaning of the marbles. In the
church context, architectural sculptures or spolias, despite having been pagan temple
decorations, no longer represented demons or other idols. They were in a purified place
249 As It is referenced in footnote; 213.
Candidate No: 122765 51
reflecting the new religion’s spiritual meanings. This purification of the marbles can be linked to the purification of people with the rebirth of the soul through baptism.
The Theodosius’ Hagia Sophia offers an important case study example, since it indicates the quality of the porticoes constructed and the significant elements which are seen as key examples altering the meaning of works of art. Naturalistic effects was abandoned in the decorative style of these artworks, although the form of the entablatures and decorative elements was similar to that of the marble revetments in the temples, such as the Corinthian capitals, ions and lesbian cymatium in friezes. These examples present the new artistic creativity and symbolic art of a new religion. There was also an interrogation of motifs. For example, symbolic figures such as lambs and palmet leaves were from classical compositions. Palmet leaves were present in the classical tradition, but gained new meaning in Christianity.
The entrance of the church welcomes people to enter a paradise or place in which Christian religious rituals were performed. The profane entrance, leant beauty to the house of god, differentiating it from neighbouring buildings. This design of its porticos increased the significance of the building. Moreover, as afore-mentioned, the marbles with their tendrils and different decorative elements represented meadows. They gave an earthly appearance to paradise, combining an earthly and heavenly nature. When entering the old Hagia Sophia, people might have felt that they were entering paradise. Moreover, the triumphal arch, the centrepiece of the portico of the Hagia Sophia might have been seen to symbolise the victory of Christianity over paganism. Spolia and statues were used in Christian monuments, and given a metaphorical meaning, emphasising the defeat of paganism. The crosses and inscriptions inside the temples purified them and indicated rebirth through the new religion.
A similar impression is attained from the basilica of St John Studios. The marble revetments of the portico and naves share similarities with classical ones. But the importance of the basilica is considered in terms of its religious importance. The marbles were more than art objects. When combined with religious building they created a religious aesthetic. Different coloured columns also indicated paradise. As Procopius explained,250 the marbles in Hagia Sophia, and the marbles inside the Studion stimulated a desire to worship. They were a representation of the beauty of heaven and earth in god’s house, also reflecting the presence of god. Because the marbles were not human made objects, this made the worshippers believe that god himself had made them. Marbles played a significant role in defining the invisible
250 As referenced in Page 46; Procopius, Buildings 1.1.59-62.
Candidate No: 122765 52
world with its heavenly nature. Another element which made the marbles more important in Christian churches, than they had been in pagan temples was their combination with other art objects. For instance, the combination of floor and wall mosaics, and icons bejewelled with gold and silver made the Christian church more desirable. They appealed to the sense of sight. But, this sight was not an earthly seeing, their lighting effects and brilliant appearance allowed the viewer to look at art objects from a spiritual perspective. This divine light emerged due to the reflective nature of the marbles and mosaics inside the churches. The decoration of the marbles, which are, vegetal and animal motifs were also representative of god creations and the twin nature of the church. The doves and pomegranates depicted reflected both naturalistic art and spiritual art.
Besides these figural compositions and visual effects of the marbles inside the church, worshippers also experienced them in religious ceremonies. Liturgical ceremonies provided a congregation of believers. These ceremonies combined all senses allowing viewers to see art objects from a different perspective. The beauty of the columns allowed people to use their sense of sight, to perceive the art works’ divine nature. This was complemented with gifts for the other senses; the smell of burning candles and incense and the sounds of singing and prayer to god. Moreover, during the Eucharist, people touched religious objects such as icons, chalices and patens and kissed them. This practice was also meant that people experienced the art objects during their religious observations and perceive their religious meaning.
Inside the Byzantine church, the combination of the senses and the experiencing of art objects led people to feel that they were in heaven. They recognised that they were in a place in which god dwells. Therefore these architectural sculptures could not be separated from their buildings. If they are considered for their artistic value alone, then their full meaning as spiritual objects in the Christian churches cannot be understood. These religious aesthetics led Christians to disassociate themselves from the former pagan nature of the buildings and decorations. Although the art of classical Rome was used in Christian culture explicitly and extensively, the art objects themselves effected a transition into Christian culture.
A primary aim of these art objects was to decorate the house of god impeccably. To entice worshippers into the holy place by using beauty. This beauty was just one factor which allowed people to see beneath the visible, encouraging worshippers to be inspired by the art objects surrounding them. However, their beauty was not as effective outside the churches as it was inside. Since there were other art objects and religious activities inside the churches.
Candidate No: 122765 53
Art objects were not only located inside the sanctuary as an art object.251 The objects inside
the churches and architectural sculptures were also understood from a Christian and spiritual
perspective. The same motifs or revetments that had formerly decorated pagan temples had
been reconceived by Christianity, altering their meaning.
251 For this argument see; James, ‘Senses and Sensibility in Byzantium’, pp. 523-537.
Candidate No: 122765 54
Illustrations
Fig. 1. Early Byzantine, Balabanaga Mescidi, Entablature, 4th century.
Fig. 2. Detail of the Fig. 1. Showing Ion and Lesbian Cymae and Scrolling Tendrils.
Candidate No: 122765 55
Fig. 3. Early Byzantine, Constantinian Baths, Architrave and Frieze Block, 4th century.
Fig. 4. Ancient Rome, Temple of Hadrian in Ephesus, 138 AD.
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Fig. 5. Detail from fig 4.
Fig. 6. Early Byzantine, Trabeation of the Propylon of Theodosius II’s Hagia Sophia, 5th century
Candidate No: 122765 57
Fig. 7. Early Byzantine, Architrave on the North Side of the Nave of the St John Studion Basilica, 5th century.
Fig. 8. Early Byzantine, Slab of Marble from Basilica of St John in Hebdomon, 5th century.
Candidate No: 122765 58
Fig. 9. Early Byzantium, Narthex facade of the Basilica of St John Studion, 5th century.
Fig 10. Early Byzantium, Colonnade on the North Side of the Nave, 5th century.
Candidate No: 122765 59
Fig. 11. Early Byzantine, the Reconstruction of Forum Tauri by Nauman, 1969.
Fig. 12. Early Byzantine, One of the Columns from Forum Tauri, 4th century.
Candidate No: 122765 60
Fig. 14. Early Byzantine, Reconstruction of Theodosius II’s Hagia Sophia by Schneider, 1935.
Fig. 13. Early Byzantine, Reconstructions of Architraves from Forum Tauri by Nauman, 1969.
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Fig. 15. Ancient Roman, Tetrapylon of Aphrodisias, 2nd century AD.
Fig. 16. Early Byzantium, Mosaic Showing the Entrance of Imperial Palace in Ravenna, St Apollinare Nuovo, 5th century.
Candidate No: 122765 62
Fig. 17. Early Byzantine, One of the Corinthian Capitals from the Front Porch, 5th century.
Fig. 18. Early Byzantine, One of the Plaster Capitals, 5th century.
Candidate No: 122765 63
Fig. 20. Early Byzantine, Epistyle from the Portico, 5th century.
Fig. 19. Early Byzantine, Corinthian Capital Supporting Architraves of Portico, 5th century.
Candidate No: 122765 64
Fig. 22. Early Byzantium, Lacunars on the Ceiling of Central Porch of Propyleaum of Hagia Sophia, 5th century.
Fig. 21. Early Byzantium, Modillion Cornice, 5th century.
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Fig. 23. Early Byzantium, Right Side of the Architrave Presenting Sheeps, 5th century.
Fig. 24. Early Byzantium, Left Side of the Architrave Presenting Sheeps, 5th century.
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Fig. 25. Early Byzantium, Reconstruction Showing Right Side of the Portico by Schneider, 1935.
Fig. 26. Early Byzantium, Column capitals from the Narthex Façade of St john Studion, 5th century.
Candidate No: 122765 67
Fig. 27. Detail of the Architrave from the North side of the Nave of the St John Studion.
Fig. 28. Early Byzantium, Marble Floor of the St John Studion, 11th century?
Candidate No: 122765
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Fowden, Garth, ‘Bishops and Temples in the Eastern Roman Empire, A.D. 320-435’, Journal of Theological Studies, vol. 29, No. 1, (1978), 53-78.
Freely, John and Çakmak, Ahmet S. Byzantine Monuments of Istanbul, (New York: Cambridge University Press, 2004).
Gerov, George, ‘The Narthex as Dessert: The Symbolism of the Entrance Space in Orthodox Church Buildings’, in Ritual and Art, ed. by Pamela Armstrong, (London: Pindar Press, 2006), pp. 144-159.
Grabar, Andre, Sculptures Byzantines de Constantinople (IV-X siecle), (Paris, 1963).
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Candidate No: 122765
Hakan, Günay, ‘Kocaeli Muzesi Bizans devrisi Mimari Plastik Eserleri’, Sakarya Universitesi Sosyal Bilimler Enstitusu Yuksek Lisans Tezi, (Sakarya 2009).
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32 yorum:

  1. 12
    TANIMLAR
    Yenidoğan dönemi doğumdan itibaren ilk 28 günlük dönemi kapsar.
     Miad (term) yenidoğan: Uterusta 37-42 hafta kalarak zamanında
    doğan bebek
     Prematüre: Gebeliğin 37 haftası tamamlanmadan önce doğan
    bebekler
    Dünya Sağlık Örgütü (DSÖ) prematüre gruplamasını aşağıdaki
    şekilde yapmaktadır.
    - Çok küçük prematüre: 28 hafta altında doğanlar,
    - Küçük prematüre: 28-31 haftalarda doğanlar,
    - Sınırda (orta-geç) prematüre: 32-36 haftalarda doğanlar
    olarak tanımlanmakla birlikte geç preterm tanımı 340/6
    -366/7
    haftayı kapsayacak şekilde kullanılmaktadır.
     Postmatür (sürmatür) bebek: Gebeliğin 42. haftası tamamlandıktan
    sonra doğan bebek
     Düşük doğum ağırlıklı bebek (LBW-DDA): 2500 gr’dan düşük
    doğum ağırlıklı bebek
     Çok düşük doğum ağırlıklı bebek (VLBW-ÇDDA): 1500 gr’dan
    düşük doğan bebek
     Oldukça düşük doğum ağırlıklı bebek (ELBW-ADDA): 1000
    gr’dan düşük doğan bebek
     Gebelik yaşına göre düşük doğum ağırlıklı bebek (SGA): Gebelik
    yaşına göre doğum ağırlığı 10. persentilin altında olan bebek
     Gebelik yaşına göre büyük doğum ağırlıklı bebek (LGA): Gebelik
    yaşına göre doğum ağırlığı 90. persentilin üzerinde olan bebek
    Doğum öncesindeki hazırlıkların ilk adımı iyi bir öykü alınmasıdır.
    Amaç, doğum sonrasında hemen ve/veya daha sonraki zaman diliminde
    ortaya çıkabilecek sorunların nedeni olabilecek riskli durumları (bkz;
    Bölüm 5: Yenidoğanda Riskli Durumlar ve Tehlike İşaretleri)
    belirleyebilmek ve uygun hazırlıkları yapabilmektir. Öykü anneden
    ve/veya aileden alınır, ancak anne tüm bilgileri ayrıntılı olarak
    bilemeyebilir, bu nedenle gerekirse ayrıca izleyen doktorundan da bilgi
    alınmalı, varsa annenin yapılmış tetkikleri, dosya kayıtları incelenmeli ve
    tüm bilgiler bebek dosyası veya kartına kayıt edilmelidir. Eğer doğuma
    bir çocuk doktoru da girecekse, doğuma girecek ebe/hemşirenin önemli
    noktaları gerekirse çocuk doktoruyla da paylaşması gerekebilir. Bazı
    durumlarda çocuk doktoru doğum sonrası da bazı bilgileri doğuma giren
    ebe/hemşireden isteyebilir.

    YanıtlaSil
  2. 15
    bozulmayacak şekilde korunmalıdır.
    Doğumdan hemen önce mekanik aspiratör hortumuna kalın (10-12fr)
    bir aspirasyon kateteri takılıp aspiratör çalıştırılarak basınç 100 mmHg
    olacak şekilde ayarlanmalıdır.
    DOĞUMDA BEBEĞİN DEĞERLENDİRİLMESİ
    Bebek doğduğunda öncelikle canlandırma gereksinimini olup
    olmadığı belirlenmelidir. Bunun için üç soru sorulur:
    1. Bebek term mi?
    2. Kas tonusu iyi mi?
    3. Spontan solunum var ya da uyuyor mu?
    Eğer bu sorulardan en az birinin yanıtı hayır ise, bebeğin canlandırma
    gereksinimi olabilir. Bu durumda yapılması gereken, bebeğin radyant
    ısıtıcı altına alınarak NRP’de anlatıldığı biçimde başlangıç
    basamaklarının uygulanmasıdır.
    Soruların tümünün yanıtı evet ise, bu durumda bebeğin canlandırma
    gereksinimi olmayacaktır, olağan bakım uygundur. Olağan bakım
    radyant ısıtıcı altında uygulanabilirse de anne göğsünde uygulanması, bir
    çok yararı olması nedeniyle önerilmektedir.
    Olağan bakıma alınan bebek anne göğsüne alındıktan sonra öncelikle
    ağız ve burnun aspire edilmesine gerek var mı belirlenir. Çoğu durumda
    temiz bir bezle silme yeterlidir. Bazen puar kullanarak salgıların
    temizlenmesi gerekebilir.
    Ağız burun temizliğinin ardından bebek ısı kaybını engellemek için
    güzelce kurulanır ve çıplak anne göğsüne çıplak olarak yatırılarak üstü
    battaniye ile örtülür.
    Anne göğsünde olağan bakım uygulanan bir bebek, gerek ısıtılma
    (kangru yöntemi) gerekse izlem açısından uygun bir ortamdadır. Bu
    uygulama aynı zamanda anne bebek bağının erken dönemde ve daha
    sağlıklı olarak kurulmasını sağlar. Anne ve bebeğin birbirlerine
    alışmaları gelecek günler açısından önemlidir. Anne göğsünde olağan
    bakımın en önemli yararı ise, erken emzirmenin sağlanabilmesidir. Bu
    yöntemle bebek doğumdan sonra uyanık olduğu 30-60 dakikalık
    dönemde anne memesini bularak emmeye başlar. Böylelikle hem
    kolostrumu erken dönemde almış olur, hem de anne memesini ve
    hormonal mekanizmaları uyarark sütün erken dönemde
    gelmesini/artmasını sağlar.
    Yenidoğan bebeğin canlandırma gereksinimi olması durumunda
    yapılacak uygulamalar NRP eğitimlerinde ayrıntılı olarak işlenmektedir.

    YanıtlaSil
  3. 16
    Apgar SKORU
    Apgar skoru, bebeğin durumunu belirleyen objektif bir değerlendirme
    yöntemidir. Yeni doğmuş bebeğin doğumdan hemen sonraki durumunu
    gösterir. Uygun şekilde yapıldığında fetal-neonatal geçişin standart bir
    kayıt düzeneğini oluşturur. Apgar skoru doğumdan sonra 1. ve 5.
    dakikalarda bakılır. Ancak ilk değerlendirme 1. dk’da yapıldığı için
    Apgar skoru uygun canlandırma girişimini belirlemek için
    kullanılmamalı, aktif, canlı olmayan bebekte canlandırmaya başlamak
    için 1. dakika değerlendirmesi beklenmemelidir.
    Apgar skoru için bebekte solunum, kalp hızı, renk, tonus ve
    uyarılara verilen cevap olmak üzere beş belirtiye bakılır. Her belirti 0, 1
    veya 2 olarak puanlanır.
    Bebeğin solunumu ve kalp atımının olmaması, renginin soluk veya
    siyanotik, tonusunun gevşek olması ve sondanın buruna sokulması ile
    verilen uyarıya cevap vermemesi ‘0’ olarak puanlanır.
    Düzensiz soluma veya zayıf ağlama, 100/dakika altındaki kalp atım
    hızı, mukozalarda olmayan hafif siyanoz veya akrosiyanoz, tonusun
    ekstremitelerde hafif fleksiyon şeklinde olması ve uyarıya cavabın sadece
    yüz buruşturma şeklinde olması ‘1’, solunumun iyi olması, aktif ağlama,
    dakikada 100’ün üstünde kalp atım hızı, cildin pembe, tonusunun iyi
    (aktif, hareketli bir bebek) olması ve uyarıya ağlayarak, öksürerek veya
    hapşırarak cevap vermesi ‘2’ olarak puanlanır. Sonuçta 5 değişkenin
    puanları toplanarak Apgar skoru bulunur (Tablo 1.1).
    Tablo 1.1: Doğumda doldurulmak üzere hazırlanmış bir Apgar
    formu örneği
    0 1 2
    1.
    dak
    5.
    dak
    10.
    dak
    15.
    dak
    20.
    dak
    SOLUNUM Yok
    Düzensiz,
    güçsüz,
    Zayıf ağlama
    İyi,
    Kuvvetli
    ağlama
    KALP HIZI Yok 100/dk
    altında
    100/dk ve
    üzerinde
    RENK Soluk,
    mor
    Hafif,
    akrosiyanoz Pembe
    TONUS Gevşek Hafif
    fleksiyon
    Aktif
    hareketli
    UYARILARA
    CEVAP Yok Yüz
    buruşturma
    Ağlama,
    Öksürme
    TOPLAM PUAN (Apgar SKORU)

    YanıtlaSil
  4. 17
    Apgar skoru 5. dakikada 7’nin üzerinde olan bebekler anne yanına
    verilebilir, 7 ve altında olanlar izleme alınmalı, 10., 15. ve 20.
    dakikalarda da Apgar skoru değerlendirilmeli, skorlar bebeğin doğum
    dosyasına kaydedilmelidir. Canlandırmada gelişen olaylar, yapılan
    işlemlerin açıklayıcı tanımları ve zamanlamalarıyla birlikte dosyada yer
    almalıdır.
    Canlandırma gereksinimi olmayan bebekler bakım işlemleri
    yapıldıktan sonra genel bir muayeneden geçirilmeli, major bir doğumsal
    sorunun olup olmadığı (club foot-yumru ayak-, meningomiyelosel, yarık
    dudak-damak, genital anomaliler vb) kontrol edilmelidir. İnce bir sonda
    her iki burun deliğinden geçirilerek koanal atrezinin olup olmadığı ayrıca
    ayrı bir ince uygun sonda anüste ilerletilerek anal atrezi yönünden anüs
    açıklığı kontrol edilir (bkz; Bölüm 5: Yenidoğanda Riskli Durumlar ve
    Tehlike İşaretleri).
    DOĞUMHANEDE GÖZ, GÖBEK, CİLT BAKIMI
    Bebek stabil olduktan sonra bakım işlemleri yapılmalıdır (Ayrıca, bkz;
    Bölüm 3: Yenidoğanın Göz, Göbek ve Ağız Bakımı). Göz ve göbek
    bakımı ulusal protokoller doğrultusunda yapılmalı, ciltteki kalıntılar
    kurulanarak temizlenmelidir. Göbek kordonundan bebek kan grubu ve
    Rh tayini için kan örneği gerekirse alınabilir. Yenidoğanlarda ısının
    korunması ilk saatlerde mümkün olmadığı için doğumdan hemen sonra
    bebekler yıkanmamalıdır. Bebeğin baş ve cildindeki kan vb kalıntılar
    enfeksiyon için risk oluşturabileceği için kurulama sırasında bunların da
    iyice temizlenmesi sağlanmalıdır. Annede HBsAg, HCV veya HIV
    pozitifliği bulunan term bebekler; bulaşın önlenebilmesi için, doğumdan
    hemen sonra (mümkünse doğumhanede, değilse servise alınır alınmaz)
    ılık suyla yıkanmalı, kurulandığı bezler kesinlikle diğer bebekler ile
    temas ettirilmemeli, izole edilerek çevreyi enfekte etmesi önlenmelidir.
    Prematüre bebekler, yıkama hipotermi riskini çok artıracağı için, annede
    enfeksiyon bilinse dahi yıkanmamalı, servise alındığında izole edilmeli,
    tüm işlemler eldiven ile yapılmalıdır. Mümkün olan en erken zamanda
    ılık su ile silinerek temizlenmeli ve kurulanmalı, bu işlem sırasında da
    mutlaka eldiven kullanılmalıdır. (bkz; Bölüm 4: Yenidoğanın Cilt Bakımı
    ve Banyosu).
    DOĞUM ODASINDA GÜVENLİK ÖNLEMLERİ
    I. Anne-bebek kol bandı takılır.
    Özellikle fazla sayıda doğum olan merkezlerde, doğum odasında veya

    YanıtlaSil
  5. 18
    çeşitli işlemler nedeniyle kısa süreli de olsa anne yanından ayrıldığı
    sırada hastane içinde bebeklerin karışmasını önlemek için doğumdan
    hemen sonra bebeğin koluna kol bandı takılmalıdır. Sağlık
    Bakanlığının Sağlık Kurum ve Kuruluşlarında hasta ve çalışan
    güvenliğinin sağlanması ve korunmasına ilişkin usul ve esaslar
    hakkındaki tebliğde (29 Nisan 2009; 7. Madde f bendi)
    ‘doğumhanede numaratörlü kol bandı uygulaması işleminde’
    yapılması gerekenler aşağıdaki şekilde belirtilmiştir:
    1. Doğum öncesi yatış işlemlerinde, iki kol bandı hazırlanır ve birisi
    doğum sonrası bebeğin koluna dolaşımı engellemeyecek, bebeği
    rahatsız etmeyecek ve çıkmayacak şekilde takılır.
    2. Bebeğin kol bandında anne adı ve soyadı, bebeğin doğum tarihi ve
    annenin protokol numarası bulunur.
    3. Cinsiyetin karışmaması için erkek çocuklara mavi, kızlara pembe kol
    bandı uygulanır.
    4. Ayrıca çoğul gebeliklerde anneye her bebek için aynı esaslara
    uyularak hazırlanmış ayrı numaralı kol bandı takılmalıdır.
    II. Bebek ayak izleri alınır ve anne dosyasına konur. Bunun için
    bebeğin bir ayağının tabanı önce mürekkep ile ıslatılmış stampaya,
    sonra ayak izinin alınacağı karta bastırılır, ayaktaki mürekkep
    silinerek temizlenir. Daha sonra aynı işlem diğer ayak izi için
    tekrarlanır.
    III. Bebek anneye gösterilir. Bebeğin, annenin ve doğum salonunun
    durumu uygunsa göğsüne konularak emmesi sağlanır. Bu mümkün
    olmazsa bile, sorunu olmayan bebeklerin ilk yarım saat içinde
    emzirilmesi sağlanmalıdır.
    YENİDOĞANDA K VİTAMİNİ UYGULAMASI
    Yenidoğanın hemorajik hastalığını önlemek amacıyla tüm bebeklere
    doğumdan hemen sonra 1 miligram K vitamini intramusküler (İM)
    olarak yapılmalıdır. Ağızdan uygulamanın güvenilirliği tam
    olmadığından yenidoğanlarda kullanımı önerilmemektedir. Prematüre
    bebeklerde 1500 gramın altında doğan bebeklere (prematüre/düşük
    doğum ağırlıklı) 0,5 mg K vitamini IM olarak uygulanmalıdır.
    Yenidoğanın hemorajik hastalığı, K vitamini eksikliğine bağlı
    gelişen bir kanama bozukluğudur. K vitamini eksikliğinde vücutta
    oluşan kanamaların durdurulması ve kontrol altına alınmasını sağlayan
    pıhtılaşma faktörleri üretilemez. Bu nedenle K vitamini eksikliğinde
    kanamaya eğilim olur. Düşük K vitamini depoları nedeniyle normal

    YanıtlaSil
  6. 19
    yenidoğanlarda bile bu eksikliğe ve kanamaya bir eğilim vardır. Eğer
    bebeğe doğumda K vitamini verilmemişse koagülasyon (pıhtılaşma)
    mekanizmasında gelişebilecek bozukluklar nedeniyle yaşamsal organlara,
    özellikle de kafa içine kanamalar olabilmektedir.
    Doğumdan sonraki ilk 48-72 saatte barsak mikroflorasının
    oluşmamasına bağlı, faktör II, VII, IX, X gibi vitamin K'ya bağımlı
    faktörlerin düzeyinde bir düşüklük olmaktadır. Bu durum 7-10. günde
    düzelmekteyse de, özellikle prematürelerde daha uzun ve daha şiddetli
    seyreder.
    Göbekten sızıntı biçiminde kanaması olan ya da topuk kanı alındıktan
    sonra kanaması durmayan bebeklerde bu tanı olasılığı düşünülmelidir. K
    vitamini eksikliğine bağlı parsiyel tromboplastin (PTT) ve özellikle de
    protrombin zamanı (PT) belirgin olarak uzamıştır. Kanama zamanı,
    trombosit sayımı, fibrinojen, faktör V ve VIII düzeyleri ise normal
    sınırlardadır.
    K vitaminin önerilen dozların üzerinde yapılmasının da kanama dâhil,
    yan etkileri olabileceği unutulmamalıdır.
    K vitamininin hazırlanması ve uygulanması sırasında yürürlükte
    bulunan hasta ve çalışan güvenliği ile ilgili mevzuatta belirtilen usul ve
    esaslara uyulmalıdır.
    K vitamini preparatları karıştırılma olasılığı olan diğer ilaçlarla bir
    arada saklanmamalıdır.
    K vitamini ampullerinin isimleri, uygulanmadan önce iyi kontrol
    edilmelidir.
    Her bebek için ayrı ampul açılmalıdır.
    K vitamini ışıktan etkilendiği için kullanımdan hemen önce enjektöre
    çekilmeli, önceden hazırlanıp bekletilmemelidir.
    Türkiye’de bulunan preparatlar
    1. KONAKİON MM Ampul: Etken Madde: Vitamin K1
    (Fitomenadion)
    Piyasa Şekilleri: 10 mg/ml: 1 ml’lik 5 ampul, 2 mg/0.2 ml (Pediyatrik):
    0.2 ml’lik 5 ampul içeren ambalajlarda. Yenidoğan bebeklerde
    yalnızca bu preparatın kullanılması önerilir.
    2. LİBAVİT K Ampul: Etken Madde: Vitamin K3 (Menadion
    sodyumbisülfit)
    Piyasa Şekilleri: 20 mg/2 ml, 2 ml’lik 5 ampul içeren ambalajlarda
    3. VI-PLEX K Ampul: Etken Madde: Vitamin K3 (Menadion
    sodyumbisülfit)

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    Piyasa Şekilleri: 10 mg ve 20 mg/2 ml, 3 ampul içeren ambalajlarda.
    Yüksek dozlarda menadion sodyumbisülfit alan (Vitamin K3)
    annelerin prematüre çocuklarında serbest bilurubin plazma seviyeleri
    yükselebilir. Yenidoğan bebeklere özellikle prematürelerde, hepatik
    fonksiyonlar tam oluşmadığı için, menadion ve türevleri hemolitik
    anemi, hiperbilurubinemi ve kernikterus ile ilişkili bulunmuştur.
    Hepatotoksisite ve hemolitik anemi riski nedeniyle çocuklarda menadion
    ve türevleri dikkatli kullanılmalıdır; yenidoğanlarda, özellikle prematüre
    bebeklerde kullanılmamalıdır. Yenidoğan hemorajik hastalığını önlemek
    için doğumdan önce uygulama, olası neonatal toksisite nedeniyle tavsiye
    edilmez. Emzirme döneminde kullanımı ile ilişkili insanlardaki
    problemler bildirilmemiştir.
    Bebeğin antropometrik ölçümleri; Bebeğin ağırlık, boy ve baş çevresi
    ölçümleri alınmalı, bu esnada hipotermiye girmemesi için önlemler
    alınmalıdır.
    YENİDOĞANIN YAPISAL ÖZELLİKLERİ
    Yenidoğanın vücut oranları, süt çocuğu, büyük çocuk ve erişkinden
    farklıdır. Kafatası, vücuduna oranla daha büyük, yüzü yuvarlak ve
    mandibulası küçüktür. Göğüs, antero-posterior olarak basık değil,
    yuvarlaktır. Karın göreceli olarak şişkin, ekstremiteler kısadır.
    Yenidoğanda vücudun orta noktası göbeğin biraz üstünde, erişkinde ise
    “simfizis pubis”tedir.
    YENİDOĞANIN FİZYOLOJİK ÖZELLİKLERİ
     Ağırlık: Normal yenidoğan vücut ağırlığı 2500-4000 gr arasındadır.
    İlk 3-5 gün içinde %5-10 ağırlık kaybı normaldir. Bu kayıp 7-10.
    günün sonunda tekrar geri kazanılır. Bundan sonra normal yenidoğan
    günde ortalama 20-30 gr ağırlık alır.
     Boy: Normal yenidoğan boyu ortalama 48-52cm’dir. İlk ayda yaklaşık
    2.5-3.5 cm artış olur.
     Vücut ısısı: Yenidoğan bebeğin ortalama aksiller vücut ısısı 36.5-
    37,5°C arasındadır. Vücut ısısı doğumdan sonra geçici hafif bir düşme
    gösterir, 48 saatte normale döner. Yenidoğanın vücut ısısını
    düzenleme kapasitesi yetersiz, vücut yüzey alanı erişkinden farklı ve
    cilt altı yağ dokusu azdır. Isı kaybı en çok baş bölgesinden olur.

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     Uyku: Normal yenidoğan 12-18 saat uyur, uyku paterni değişkenlik
    gösterir. Yenidoğan sırtüstü uyutulmalıdır. Yüzükoyun uyuma ve
    yumuşak yatak Ani Bebek Ölümü Sendromuyla (SIDS-ABÖS) ilişkili
    bulunmuştur.
     Beslenme: Anne sütüyle beslenen bebekler 24 saatte ortalama 8-12
    kez emzirilir. Yenidoğan her istediğinde emzirilmelidir. Yenidoğan 3
    saatten fazla emmediğinde uyandırılıp beslenmesi gerekebilir.
     İdrar çıkarma: Yenidoğanın ilk idrar çıkışı 12-24 saat içinde
    olmalıdır. İkinci gününde her 8 saatte bir; 3-4. günde her 24 saatte 4-6;
    5. günde 6-8 ıslak bez çıkarmalıdır.
     Mekonyum: Yenidoğan ilk dışkılamasını doğumdan sonraki 48 saat
    içinde çıkarmalıdır. Rengi koyu yeşil, siyah ve yapışkandır.
    Beslenmeye başladıktan 3-4 gün sonra rengi yeşile ve sonrasında
    sarıya doğru değişir. Anne sütü ile beslenen bebeklerde günde 3-4 kez
    veya daha fazla, mama ile beslenenlerde ise günde ortalama 1-2 kez
    dışkılar.
     Bazı bebekler oldukça saçlı doğarken bir kısım bebek ise neredeyse
    saçsız doğar. Lanugo adı verilen ipeksi ince vücut tüyleri, özellikle
    prematürelerde, sırtta, omuzlarda, alında, kulaklarda ve yüzde yaygın
    bir şekilde bulunur. Bu tüyler ilk birkaç haftada kaybolur.
    YENİDOĞANIN NORMAL ve PATOLOJİK ÖZELLİKLERİ
    I. BAŞ
    Baş çevresi: Bebeğin başının arkasındaki en çıkıntılı nokta ile alın
    çıkıntısından geçecek şekilde mezura ile ölçülür. Normal yenidoğanın
    baş çevresi 33-37 cm’dir. Yenidoğanın başı vücuduna göre 1/4
    oranındadır. Doğumdan sonraki ilk günlerde bebeğin kafa şekli uzamış
    ya da asimetrik olabilir. Bunun nedeni doğum kanalından geçerken
    bebeğin baş kemiklerinin dar kanala girebilmek için uyum sağlamaya
    çalışmasıdır. Buna molding (şekil verme) denir (Resim 1.1). Birkaç
    günde normale döner.

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     “Over-riding” (Üstüste binme): Kafa kemiklerinin birbiri üzerine
    hafifçe binmesidir. Elle dokunarak daha kolay anlaşılabilir. Normal
    doğumlarda daha sıktır, kendiliğinden düzelir.
     Kaput suksadenum: Başın önde gelen kısmına uygulanan basınca
    bağlı olarak ciltte oluşan ödemdir. Kafa derisi ve derialtı dokularında
    zedelenme söz konusudur. Periostla ilişkili olmadığından sütür
    hatlarını geçebilmesi sefal hematomdan ayırıcı tanıda önemlidir.
    Yumuşaktır. Üzerine bastırılınca oluşan gode birkaç saat kalabilir
    (Resim 1.2). Doğumdan sonra küçülmeye başlar. Genellikle 2-3 gün
    içinde azalıp kaybolur.
     Sefalhematom: Periost (kemik zarı) ile kafa kemikleri arasına kan
    toplanmasıdır. İlk 1-2 günde ortaya çıkar, tek veya iki taraflı olabilir,
    sütürları geçmez. Az bir kısmında kafa kemiklerinde çökme kırığı
    olabilir. Sefal hematom düşünülen bebeklerin deneyimli bir doktor
    tarafından (özellikle nörolojik açıdan) muayenesinin yapılması ve 2
    yönlü kafa grafisinin çekilmesi gerekir. Eğer bu değerlendirmeler
    normalse bebeğin ailesine bunun normal doğumlarda olabileceği ve 2-
    3 haftada kaybolabileceği veya bazen daha yavaş düzelebileceği
    anlatılmalıdır. Sefal hematoma ponksiyon yapılmaz. Tüm doku içine
    kanamalarda olduğu gibi sarılık riskini arttırabileceği
    unutulmamalıdır.
    Resim 1.1: Molding: Doğum kanalından
    geçerken kafanın önden arkaya doğru
    hafifçe uzamış bir şekilde görülmesidir.
    (Dr. Ayşegül Zenciroğlu arşivi)
    Resim 1.2: Kaput
    suksadenum
    (Dr. Ayşegül
    Zenciroğlu arşivi)

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     Fontaneller: Kafa kemikleri arasında bulunan, beynin büyümesine
    olanak veren kemiksiz, zarla kaplı alanlardır. Bebeğin kafasını
    yıkamakla beyne herhangi bir zarar vermezler.
     Ön fontanel (bıngıldak) bebek sakinken değerlendirilmelidir.
    Normalde düz ve 2-3cm genişlikte, 3-4cm uzunluktadır, 9-24 ayda
    (ortalama 1 yaş) kapanır. Üç aydan önce kapanması patolojiktir.
    Kabarık olması artmış kafa içi basıncı sonucu, deprese/basık olması
    dehidratasyon göstergesi olabilir. Aileye bu konularda bilgi
    verilmelidir.
     Arka fontanel 1-2 cm kadardır, doğumda kapalı olabilir veya 6-8
    haftada kapanır.
     Kafa sütürları kafa kemikleri arasındaki basık kısımlar olarak
    hissedilir. Kafa kemikleri birbiri üzerine binen (over-riding)
    bebeklerde ilk birkaç gün hissedilebilir. Kafa sütürlarının çok ayrık
    olması veya tamamen kapanmış olması normal değildir.
    GÖZLER
     Hafif şiş göz kapakları yenidoğanda normaldir
     Konjonktiva ve sklerada küçük kanamalara sık rastlanır.
    Kendiliğinden düzelir.
     Gözlerde sarılık/opasite/bulanıklık normal değildir (Resim 1.3).
    Gözlerin çok ayrık yerleşimi de anormal olabilir.
     Göz kapaklarında kızarıklık, şişme, pürülan akıntı enfeksiyonu
    gösterir. Doğum sırasında doğum kanalında mikrop almış olabilir.
    (bkz; Bölüm 3: Yenidoğanın Göz, Göbek ve Ağız Bakımı)
     Yenidoğanın gözyaşı bezleri tam olarak çalışmadığından 3 haftaya
    kadar ağladıklarında gözyaşı gelmeyebilir.
    BURUN
    Yenidoğanlar burundan nefes almaya yatkındır. Burun delikleri çok dar
    olduğu için burun içi sıvı nedeniyle geçici burun tıkanıklığı ve sesli nefes
    Resim 1.3:Yenidoğanda katarakt. (Her zaman
    bu kadar belirgin olmayabilir. Şüpheli
    durumlarda göz hekimine başvurulmalıdır.)
    (Dr. Ayşegül Zenciroğlu arşivi)

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    alma (hırıltı) görülebilir. Yenidoğan bebekte hapşırma sık görülür, burun
    deliklerini temizlemeye yönelik normal bir reflekstir.
    KULAKLAR
    Yenidoğan bebekte kıkırdak dokusu tam gelişmediğinden doğumdan
    hemen sonra kulaklarda anne karnındaki duruşa bağlı olarak hafif şekil
    bozukluğu olabilir. Kulağın önünde deri uzantısı (skin tag) veya küçük
    delik bulunması sık karşılaşılan bir durumdur (Resim 1.4). Bunların
    genellikle klinik önemi yoktur. Ancak 3 veya daha fazla sayıda bu tip
    küçük anomaliler olması ağır doğumsal anomalilerin bulgusu olabilir.
    Şüpheli durumlarda doktora başvurulmalıdır.
    AĞIZ
    Emzirmeye bağlı bebeğin üst dudağında ufak bir baloncuk meydana
    gelebilir. Bu ağrısız baloncukta soyulma da olabilir. Bu tamamen normal
    bir durumdur ve dudaklar daha dayanıklı hale geldiğinde ortadan kalkar.
    Dudak yarığı varsa not edilmeli, doktora danışılmalıdır (Resim 1.5).
    Bebekler mutlaka yarık damak açısından da değerlendirilmelidir.
    Resim 1.4: Kulağın önünde deri uzantısı
    (skin tag) (Dr. Ayşegül Zenciroğlu arşivi)
    Resim 1.5: Yarık Dudak (Dr.
    Ayşegül Zenciroğlu arşivi)

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    Yenidoğan bebeğin ağız tavanında Ebstein incileri adı verilen küçük
    beyaz noktalar görülebilir. Bazen sıvı dolu küçük kistler dişetlerinde de
    görülebilir. Bir haftada kaybolur.
    Ağız tavanının beyazımsı görünmesi normaldir. Ancak pamukçuktan
    ayrılmalıdır.
    II. BOYUN
     Yenidoğanda yanaklar ve ensedeki cilt kıvrımları nedeniyle boyun
    kısa görülebilir. Gerçek boyun kısalığından ayrılmalıdır. Boyun
    kısalığı bazı genetik hastalıklarda olabilir.
     Yenidoğan bebek yatar durumdan oturur pozisyona getirilirken başın
    hafif arkaya düşmesi normal iken, 45˚den fazla arkaya düşmesi
    anormaldir.
     Başın bir tarafa doğru eğik olması Tortikolis olarak bilinir. Çocuk 2–
    3 haftalık olunca sternokleidomastoid (SCM) kasında görülebilen
    ve/veya palpe edilebilen bir şişlik söz konusudur. En sık nedeni SCM
    kasındaki kısalık, fibrozis ve gerginliktir. Zor doğumlardan sonra da
    görülebilir. Bazı olgularda bilateral olabilir. Erken dönemde fizik
    tedavi ile düzelebileceği için doktora yönlendirilmelidirler.
    III.GÖĞÜS
    Yenidoğanın göğüs duvarı ince olduğundan kalp atışı kolayca fark
    edilebilir. Bu durum normaldir.
    SOLUNUM SİSTEMİ:
    Yenidoğanlarda normal solunum sayısı 40-60/dk arasındadır.
    Yenidoğanlar nefes alırken daha çok karın kaslarını kullanır. Daha çok
    uyku sırasında olan, 5-10 saniye süren nefes tutma ve tekrar
    kendiliğinden nefes almaya başlama görülür. Buna periyodik solunum
    denir ve normal bir durumdur. Periyodik solunumun apne ile karışma
    ihtimali olabilir. Bebeğin nefesini tuttuğu sürenin gerekli durumlarda
    saniyesi olan bir saatle değerlendirilmesi apneden (solunumun 20
    saniyeden fazla durması) ayrılması için önemlidir.
    Hızlı nefes alma, morarma, inleme, solunum sırasında burun
    kanatlarının kullanılması solunum sıkıntısı belirtileridir.

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    Bezin çok sıkı bağlanmasının bebeğin karın solunumunu
    engelleyebileceği unutulmamalı!
    KARDİYOVASKÜLER SİSTEM:
    Yenidoğanda kalp atımı 120-160/dk arasındadır. Bazı bebeklerde uyku
    sırasında 85-90/dk olabilir. Kalp tepe atımının <100 veya >160/dk olması
    veya ritim bozukluğu şüphesinde tetkik ve tedaviye yönlendirilmelidir.
    Doğumdan hemen sonra yenidoğan bebeklerde belirlenen siyanoz
    yaklaşık 5-10 dakikada düzelir (Resim 1.6). Gerekirse bu bebekler nabız
    oksimetresi ile izlenmelidir. Son yıllarda doğumsal ağır kalp
    hastalıklarının erken tanımlanması için yenidoğan bebeklerin hastaneden
    taburcu olmadan önce en az bir kez nabız oksimetresi ile oksijen
    saturasyonlarının bakılması önerilmektedir.
    Erkek ve kız bebeklerde (hamilelikte anneden geçen östrojen hormonu
    nedeniyle) meme dokusu büyüklüğü görülebilir. Bazen memeden süt de
    gelebilir. Meme büyüklüğü genellikle birkaç haftada düzelir. Memelere
    masaj yapılmamalı, sıkılmamalı, bu konuda aileler bilgilendirilmelidir.
    Eğer abse görünümü varsa doktora danışılmalıdır (Resim 1.7).
    Resim 1.7: İki farklı bebekte meme apsesi(Dr. Ayşegül Zenciroğlu arşivi)
    Resim 1.6: Doğumun ilk
    dakikasında siyanoz
    (Dr. Fatma Neşe Onat arşivi)

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    yeterli barsak motilitesi, laktaz aktivitesi 32-34. haftada oluşur. Bu
    gastrointestinal immatürite problemlerini aşmanın en iyi yolu
    doğumdan sonra en kısa sürede minimal enteral beslenmenin
    başlatılmasıdır.
     Arama refleksi: Yanağa dokunur dokunmaz ağzın uyarı tarafına
    çevrilmesi şeklinde bir reflekstir. Postnatal 4. ayda kaybolmaya başlar
    ancak uykuda iken 1 yıla kadar sürebilir.
     Yakalama: Başlangıçta çok güçlüdür. Zamanla bu gücü kaybolur.
    Avuç içi ve ayak tabanı sıvazlandığında parmaklarını içe büküp tutma
    hareketi yapar. Ellerde 2. aya kadar ayaklarda ise daha uzun sürer.
    Genelde 6-10 ay kadar devam eder
     Babinski refleksi: Bebeğin ayak tabanına dokunulduğunda bacağını
    kasar ve başparmağını yana doğru açar. İki yaşına kadar sürebilir.
    Kaynaklar:
    1. Bebek ve Çocuk İzlem Protokolü. Sağlık Bakanlığı Ana Çocuk
    Sağlığı ve Aile Planlaması Genel Müdürlüğü; 2008
    2. Neonatal Resusitasyon-Yenidoğan Canlandırması. Ankara: T.C.
    Sağlık Bakanlığı Ana Çocuk Sağlığı ve Aile Planlaması Basımevi;
    2007
    3. Aslan Y. Genel bakım. Yurdakök M, Erdem G. (eds). Neonatoloji.
    Ankara: Türk Neonatoloji Derneği; 2004: 151-1165.
    4. Samancı N. Yenidoğanın Genel Bakım Prensipleri. Dağoğlu T, Ovalı
    F (eds). Neonatoloji. İstanbul, Nobel Tıp Kitabevi. 2007: 163-165
    5. Tekinalp G, Yurdakök M, Yiğit Ş., Korkmaz A. Yenidoğan
    Bakımında Hacettepe Uygulamaları. Ankara: Güneş Tıp Kitabevleri;
    2009.
    6. Aslan Y. Genel bakım. Yurdakök M, Erdem G (ed). Neonatoloji
    (2.baskı). Ankara: Türk Neonatoloji Derneği, 2004:151-165.
    7. Lucthman-Jones L, Wilson DR. The Blood and Hematopoietic
    System. In: Martin RJ, Fanaroff AA, Walsh MC (eds). Neonatal-
    Perinatal Medicine: Diseases of the Fetus and Infant (9th ed). St
    Louis: Mosby, 2011:1303-1373.
    8. Kayaalp SO. BNF/TİK Türkiye İlaç Klavuzu, Turgut Yayıncılık ve
    Tic. A.Ş. İstanbul, 2001: 427-428.
    9. Puckett RM, Offringa M. Prophylactic vitamin K for vitamin K
    deficiency bleeding in neonates. Cochrane Database of Systematic
    Reviews 2000, Issue 4. Art. No.: CD002776. DOI:

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    BÖLÜM 2
    Anne Sütünün Önemi ve Emzirme
    Öğrenim hedefleri:
    1. Yenidoğan bebekler için anne sütünün önemini kavrayabilmek
    2. Kolostrum, geçiş sütü ve matür sütü tanımlayabilmek
    3. Bebeğin memeye yerleştirilmesi ve emzirme tekniklerini
    anlatabilmek
    4. Emzirme süresi ve sıklığını belirlemek
    5. Bebeğin yeterli süt aldığının belirtilerini sayabilmek
    6. Anne sütünün sağılmasını gerektiren durumları sayabilmek
    7. Süt sağma yöntemlerini anlatabilmek
    8. Prematüre ve DDA bebeklerde anne sütü ve besleme tekniklerini
    anlatabilmek
    9. Başarılı emzirme için on adımı sayabilmek
    Beslenme, 1924 yılından bu yana yayınlanan uluslararası insan hakları
    belgelerinde bir hak olarak ifade edilmektedir. Bütün bebekler ve
    çocuklar, sağlıklı olmak ve sağlığını korumak için yeterince beslenme
    hakkına sahiptir. Emzirme ise, bebeklere ve çocuklara bu hakkı sağlayan
    en ideal yöntemdir.
    Her yenidoğanın büyüme çağına uygun doğru besini alma hakkı
    vardır. Bu nedenle yenidoğanın bakımından sorumlu olan kişilerin bu
    temel hakkı göz ardı etmemesi gerekir. Büyüme ve gelişmenin en hızlı
    olduğu bebeklik döneminde, ilk 6 ay, bebeğin tüm fizyolojik ve
    psikososyal ihtiyaçlarını karşılayan tek besin anne sütüdür.
    Dünya Sağlık örgütü (DSÖ) (World Health Organization-WHO) ve
    Birleşmiş Milletler Çocuk Fonu (The United Nations Children's Fund -
    UNICEF) anne sütü ile beslenmenin doğumdan hemen sonra
    başlanmasını, ilk 6 ay sadece anne sütü verilmesini ve emzirmenin 6
    aydan sonra uygun besin takviyeleri ile iki yaş ve ötesine kadar devam
    etmesini önermektedir. UNICEF’in 2007 raporuna göre dünyada 5 yaş

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    altı ölüm hızı binde 78’dir ve bu ölümlerin %53’nün altında yatan temel
    neden yetersiz beslenmedir. 2014 yılı Dünya Sağlık İstatistiklerine göre
    2012 yılında dünyada 5YAÖH binde 48, ülkemiz içinse binde 14’dür.
    Sağlık Bakanlığı’nın 2013 yılında yayınlanan verilerine göre bebek ölüm
    hızı 1000 canlı doğumda 7.8, neonatal ölüm hızı 1000 canlı doğumda 4.2
    olarak belirtilmiştir.4
    Genellikle yenidoğan bebek ölümlerinin önlenmesi pahalı ilaç ve araç
    gereç ya da yüksek teknoloji gerektirmemektedir. Güvenli anneliği
    sağlamak, önlenebilir anne ve bebek ölümlerin önüne geçecektir.
    Hatalı anne sütü uygulamalarının önlenmesi, emzirmenin korunması,
    özendirilmesi ve desteklenmesine yönelik olarak, Sağlık Bakanlığımızca
    da 1991 yılından beri UNİCEF/DSÖ önerileriyle “Anne Sütünün
    Teşviki ve Bebek Dostu Hastaneler” programı yürütülmektedir.
    Gebeliklerinden itibaren anne adaylarını anne sütü ve emzirme
    konusunda bilgilendiren, doğumdan hemen sonra annelerin bebeklerini
    emzirmesini sağlayan, güncel bilgilerle eğitilmiş sağlık personeli
    yardımıyla annelere bebeklerini nasıl emzirecekleri konusunda yardımcı
    olan hastaneler “BEBEK DOSTU HASTANE” unvanını almaktadır.
    Ülkemizde sürdürülmekte olan “Anne Sütünün Teşviki ve Bebek
    Dostu Sağlık Kuruluşları” programında; tüm doğan bebeklerin
    doğumdan sonra hemen emzirilmeye başlatılması, ilk 6 ay
    “sadece” anne sütü verilmesi, 6. aydan sonra ek besinlere
    başlanmasının yanı sıra emzirmenin en az 2 yaş ve ötesine kadar
    devam ettirilmesi ülke politikamızdır.
    BAŞARILI EMZİRME İÇİN ON ADIM
    Temel Yönetim Uygulamaları
    1. Kuruluşta anne sütü ve emzirme uygulamasının korunması, teşvik
    edilmesi ve desteklenmesi amacıyla bir emzirme politikası oluşturulur.
    a) Anne Sütü Muadillerinin Pazarlanmasıyla ilgili Uluslararası Yasa
    ve Dünya Sağlık Asamblesi’nin ilgili kararları eksiksiz şekilde uygulanır.
    b)Personel ve ebeveynlerle düzenli aralıklarla paylaşılan, yazılı bir bebek
    beslenme politikası oluşturulur.
    c)Sürekli izleme ve veri yönetim sistemleri kurulur.
    2. Personelin emzirme konusunda annelere destek olmak için gereken
    bilgi, yetkinlik ve becerilerle donatılması sağlanır.

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    Temel Klinik Uygulamalar
    3. Hamile kadınlar ve aileleri emzirmenin önemi ve yönetimi konusunda
    bilgilendirilir.
    4. Annelerin bebekle derhal ve kesintisiz şekilde ten teması kurmasının
    sağlanır ve doğumdan sonra en kısa zamanda emzirmeye başlamaları için
    annelere destek olunur.
    5. Emzirmenin başlatılması ve sürdürülmesi ile sıkça karşılaşılan
    güçlüklerin yönetilmesi konusunda annelere destek sunulur.
    6. Tıbbi bir zorunluluk olmadığı sürece, yenidoğanlara anne sütünden
    başka herhangi bir katı veya sıvı gıda verilmez.
    7. Annelerin ve bebekleriyle bir arada tutulması ve bebeklerin günün 24
    saati boyunca anneleriyle aynı odada kalması sağlanır.
    8. Bebeğin acıktığı zaman verdiği işaretleri tanımaları ve bunlara yanıt
    vermeleri konusunda annelere destek olunur.
    9. Biberon, biberon emziği ve boş emzik gibi aparatların kullanımı ve
    riskleri konusunda annelere danışmanlık hizmeti verilir.
    10. Ebeveynlerin ve bebeklerin sürekli destek ve bakım hizmetlerine
    gereken zamanda erişim sağlamalarına yardımcı olmak amacıyla taburcu
    işlemleri eşgüdüm içerisinde yürütülür.
    ANNE SÜTÜNÜN ANNE VE BEBEK SAĞLIĞI ÜZERİNE ETKİSİ
    Anne sütünün bebek sağlığı üzerine kısa ve uzun dönemde sayısız
    faydaları vardır.
    Anne sütünün bebeğe faydaları
     Anne sütü en doğal ve en taze besindir.
     İçerdiği besin maddeleri bebeğin ihtiyacına uygundur.
     Kolaylıkla sindirilir.
     İçeriğinde % 80 su vardır, ilk 6 ay boyunca su vermeye gerek yoktur.
     Bebekle anne arasında sevgi dolu bir ilişki sağlar.
     Her zaman temiz ve sterildir.
     Bebeği hastalıklardan korur.
     Isısı bebeğin emmesi için idealdir.
     Bebeklerin kemik gelişiminidestekler.

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     Ekonomiktir.
     Hazırlama gerektirmez.
     Bebeği alerjiye karşı korur.
     Anne sütü alan bebeklerin diğer besinlerle beslenen bebeklerden daha
    zeki olduğunu öne süren bazı çalışmalar vardır.
    Emzirmenin Psikolojik Yararları
     Anne ile bebek arasında sevgi dolu bir ilişki kurulmasını kolaylaştırır.
    Bu da anneyi duygusal olarak tatmin eder.
     Emziren anneler bebeklerine daha şefkatli davranırlar.
     Bebekler doğumdan hemen sonra annenin yanında kalır ve
    emzirilirlerse daha az ağlar ve daha çabuk gelişirler.
     Anne sütü ile beslenme bebeğin zekâ gelişimini ve entelektüel
    yapısını olumlu etkiler.
    Anne sütünün anne sağlığı için faydaları
    Anne sütünün, bebek sağlığının yanı sıra, anne sağlığı için de önemli
    faydaları vardır.
     Anne sütü daha hızlı uterus involüsyonunu sağlayarak, postpartum
    kanamayı azaltır.
     Laktasyonel amenore ile doğum aralığını arttırmaya yardım eder.
     Gebelik öncesi tartıya dönmeye yardımcı olur.
     Meme kanseri ve over kanseri riskini azaltır.
     Postmenopozal osteoporoz ve kalça kırığı riskini azaltır.
     Anne ile bebek arasındaki bağı güçlendirir.
     Prolaktin hormonu annede özel bir sakinlik sağlar.
     Çalışmalar anne sütü ile beslenmenin sağlık harcamalarını azaltarak
    ülke ekonomisine de fayda sağladığını göstermiştir.
    Yapay Beslenmenin Zararları
     Daha fazla ishal ve solunum yolu hastalığı
     İnatçı ishal
     Malnütrisyon, A vitamini eksikliği
     Daha yüksek ölüm olasılığı
     Daha fazla alerji
     Bazı kronik hastalıkların artma riski

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     Zekâ testlerinde daha düşük puan
     Bağlanmayı önler
     Anemi, over ve meme kanseri riski daha yüksek
     Anne daha erken hamile kalabilir.
    EMMENİN FİZYOLOJİSİ
    İlk yutma hareketleri intrauterin 12-16. haftalarda amniotik sıvının
    yutulması ile başlar. 32. haftadan önce doğan bebeklerde emme
    hareketleri azdır ve hiç yutma hareketi olmayabilir. Zamanında doğan
    bebeklerde emme-yutma hareketlerinin olgunlaşması doğumdan sonraki
    1-2 günde olurken, özellikle 2000 gr altındaki pretermlerde günler,
    haftalar gerekebilir. Emme ve yutma koordinasyonu intrauterin 33.
    haftadan sonra gelişir.
    Bebek anne sütünden yararlanabilmek için bazı koruyucu refleksler ile
    doğar. Bunlar arama refleksi, emme refleksi ve içine çekme refleksidir.
    1. Arama Refleksi: Parmakla yanağın köşesi ile dudak okşandığında
    bebeğin o yöne başını çevirip, ağzını açmasıdır. Annenin meme
    başıyla bebeğin alt dudağına dokunulduğunda, meme başını koklayan
    bebek, memeye doğru dönerek emmeye başlar. Bu refleks 9-12.
    haftalarda kaybolur. Bu refleksin yenidoğanda yokluğu, zayıflığı ve
    tepkilerin simetrik olmayışı merkezi sinir sistemi depresyonunu ya da
    fonksiyon bozukluğunu gösterebilir.
    2. Emme Refleksi: Meme başı ve areolanın bir bölümü bebeğin ağzında
    doğru bir şekilde yerleştirildiğinde dilin damağa doğru çekmesiyle süt
    salınımının başlamasına neden olan reflekstir. Emme refleksi
    dudaklara dokunmakla emme hareketinin başlamasıdır. Bu refleks
    fetal hayatın 17. haftasında gelişir ve gebeliğin son haftasında
    olgunlaşır. Eğer emme refleksi uyarılmaz ise doğumdan sonra
    kaybolur. Emme refleksi uyanık durumda 4. aya, uykuda 7. aya kadar
    devam eder ve daha sonra emme istemli hale gelir.
    3. İçine Çekme Refleksi (yutma refleksi): Memeden ya da biberondan
    alınan sütün içe çekilmesine yardım eden bir reflekstir. Bebeğin sütü
    memeden alırken, sanki kamışla içiyormuş gibi içine çekmesidir.
    Ayrıca bebeğin etkili emmesi için yutma refleksinin de etkin olması
    gerekir. Yenidoğanın ağzı süt ile dolunca sütü yutar. Emme ve
    yutmanın koordine çalışması biraz zaman alabilir. Yutma refleksi
    spontan bir olaydır, yaşam boyu devam eder.
    DOĞUMDAN SONRA SÜT ÜRETİMİNİN BAŞLAMASI

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    1. GİRİŞ
    Ameliyat sonrası dönemde görülen ağrı, cerrahi travmanın neden olduğu bir akut ağrı
    çeşididir (Sng ve diğ., 2017). Ağrı subjektif olarak yorumlanmakla birlikte her yaş grubu için
    iyileşme süreci ve ameliyat sonrası sürecin yönetimini olumsuz etkileyen önemli sorunlardan
    biridir (Sng ve diğ., 2017; Chou ve diğ., 2016; Davidson ve diğ., 2016; LaMontagne ve diğ.,
    2001). Ameliyat sonrası dönemde ağrıyı deneyimleyen çocuklarda anksiyete, yeme ve sıvı
    alımında zorluk, uyku bozukluğu, davranış değişikliği ve benzeri problemler görülebilmektedir
    (Davidson ve diğ., 2016).
    Ameliyat sonrası ağrının yetersiz yönetimi, hastanede yatış sürecinin uzaması, gecikmiş
    yara iyileşmesi, komplikasyon oluşması gibi birden çok istenmeyen sonuca neden olabilir
    (Sayar ve Ergin, 2019; Boric ve diğ., 2017). Diğer yandan ameliyat sonrası başarılı ağrı
    yönetimi, hastanede kalış süresinin azalması, hastane maliyetlerinin düşmesi ve hasta
    memnuniyetinin artması gibi olumlu sonuçlara katkıda bulunur (Boric ve diğ., 2017).
    Çocukların ağrı algısında yaş, daha önceki ağrı deneyimleri, cinsiyet, öğrenim durumu,
    sosyokültürel özellikler, kişilik özellikleri, duygu durumu, ailenin tepkileri ve benzeri faktörler
    etkili olabilmektedirler (Sayar ve Ergin, 2019; Şermet, 2019; Erdoğan, 2018; LaMontagne ve
    diğ., 2001). Bunların yanında çocukların ağrıyı algılama, anlamlandırma, ifade edebilme gibi
    becerileri yetişkinlere nazaran daha sınırlıdır (Sayar ve Ergin, 2019; Şermet, 2019; Erdoğan,
    2018). Bu nedenle çocuklarda ağrının değerlendirilmesi, şiddetinin ölçülmesi ve sürecin etkili
    yönetilmesi oldukça zordur (Sayar ve Ergin, 2019; Şermet, 2019; Erdoğan, 2018; Boric ve diğ.,
    2017; LaMontagne ve diğ., 2001). Etkili bir ağrı tedavisi için ağrının doğru tanılanması çok
    önemlidir (Erdoğan, 2018). Bu nedenle çocuklarda ağrı yönetiminde hemşirelere büyük görev
    ve sorumluluk düşmektedir (Şermet, 2019; Cura ve diğ., 2018; Erdoğan, 2018).
    Ameliyat sonrası ağrının yönetiminde, çoğunlukla farmakolojik yöntemlere
    başvurulmaktadır (Sayar ve Ergin, 2019). Farmakolojik yöntemler hızlı ve etkili bir yöntem
    olmasına rağmen, yan etki görülmesi, belli aralıklarla uygulanabilmesi, tolerans gelişmesi,
    maliyetli olması, bilinçsiz kullanımın olumsuz sonuçlara yol açması gibi etkileri nedeniyle

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  21. Bu yorum yazar tarafından silindi.

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    günümüzde sıklıkla nonfarmakolojik yöntemlerin kullanımı tercih edilmektedir (Erdoğan,
    2018).
    Çocuklarda ağrının yönetiminde sıklıkla kullanılan nonfarmakolojik yöntemler arasında
    masaj, egzersiz, soğuk uygulama, müzik dinletme, oyun oynama, resim yapma, balon üfleme,
    plasebo, dikkati başka yöne çekme vb. teknikler yer almaktadır (Sayar ve Ergin, 2019; İnal ve
    Canbulat, 2015; Mutlu ve Balcı, 2015; Weimer ve diğ., 2013).
    Bu araştırma ortopedi ameliyatı geçiren çocuklarda postoperatif dönemde ağrının
    azaltılmasında online oyun, soğuk uygulama ve plasebo etkisinin belirlenmesi ve yöntemlerin
    etkisinin karşılaştırılması amacıyla planlanmıştır. Araştırmada klinik şartlarda kolay
    uygulanabilen ve düşük maliyetli nonfarmakolojik yöntemler seçilmiştir. Literatürde bu üç
    yöntemin aynı araştırmada kullanıldığı araştırmaya rastlanılmamıştır. Araştırmada kullanılan
    yöntemlerin etkisinin belirlenmesi ve karşılaştırılmasından elde edilen sonucun bilime, ortopedi
    ameliyatı olan çocuklara ve bu alanda çalışan sağlık çalışanlarına yararı olması
    hedeflenmektedir.

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    2. KAVRAMSAL ÇERÇEVE
    2.1. AĞRI TANIMI
    Uluslararası Ağrı Araştırmaları Derneği (International Association for the Study of Pain
    – IASP), ağrıyı vücudun herhangi bir bölgesinden kaynaklanan gerçek ya da olası doku
    harabiyeti ile ilişkili, kişinin geçmiş deneyimlerinden etkilenebilen, duyusal ve duygusal
    deneyim olarak tanımlamıştır (IASP, 2017).
    Klinik ortamda en kabul edilebilir ağrı tanımını Margo McCaffery 1968 yılında, “Ağrı
    bireyin söylediği şeydir. Birey ağrısı olduğunu ifade ediyorsa vardır, bunu kabul etmek
    gerekir.” şeklinde yapmıştır (Büyükgönenç ve Törüner, 2018; Özveren ve diğ., 2018;
    McCaffery ve diğ., 2011).
    Ağrı, Sağlık Bakımı Organizasyonları Akreditasyonu Birleşik Komisyonu (The Joint
    Commission on Accreditation of Healthcare Organizations) ve Amerikan Ağrı Derneği
    (American Pain Society) gibi kuruluşlar tarafından beşinci yaşam bulgusu olarak kabul
    edilmiştir (Pozza ve diğ., 2021; Pruitt ve diğ., 2020; Büyükgönenç ve Törüner, 2018; Smith ve
    Roberts, 2015).
    Ağrı sürecinin iyi yönetilebilmesi için ağrının değerlendirilmesi ve kaydedilmesi
    önemlidir. Ağrının beşinci yaşam bulgusu olarak değerlendirilmesi, ağrının etkili yönetilmesini
    sağlar. Bu durum taburculuk sonrası yaşanabilecek ağrıyı ve hastane yatışlarını azalttığı için
    büyük önem taşımaktadır (Pozza ve diğ., 2021).
    2.2. AĞRI FİZYOLOJİSİ
    Ağrı, doku hasarı ile başlayıp ağrının algılanmasına kadar geçen süreçteki bir takım
    elektrokimyasal olaylar sonucunda oluşur (Erdoğan, 2018). Bu elektrokimyasal olaylar
    bütününe nosisepsiyon adı verilir (Büyükgönenç ve Törüner, 2018). Ağrı süreci nosiseptör adı
    verilen reseptörlerin kimyasal, termal ya da mekanik uyaranlar tarafından aktifleştirilmesi ile
    başlar (Armstrong ve Herr, 2022; Yağcı ve Saygın, 2019; Büyükgönenç ve Törüner, 2018; Hall,
    2013; Steeds, 2009). Dört fizyolojik süreçten oluşur (Büyükgönenç ve Törüner, 2018). Bu

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    süreçlerin sonunda ağrı iletimi tamamlanmış olur (Büyükgönenç ve Törüner, 2018; Aydınlı,
    2005).
    Transdüksiyon: Ağrılı uyaranın, sinir uçlarında elektriksel aktiviteye
    dönüştürülmesidir. Nosisepsiyonun ilk fizyolojik sürecidir (Büyükgönenç ve Törüner, 2018).
    Transmisyon: Transdüksiyon sırasında oluşan elektriksel aktivitenin nosiseptörler
    tarafından merkezi sinir sistemine iletilmesidir (Büyükgönenç ve Törüner, 2018)
    Modülasyon: Ağrının düzenlendiği süreçtir. Bu aşamada ağrılı uyaran inhibe edilir.
    Değişime uğrayarak üst merkezlere iletilir (Büyükgönenç ve Törüner, 2018; Aydın, 2002).
    Persepsiyon: Ağrılı uyaranın algılanması aşamasıdır. Bu aşamada nosisepsiyon
    tamamlanır (Büyükgönenç ve Törüner, 2018).
    2.3. AĞRI TEORİLERİ
    Spesifik Teori: Bu teoriye göre ağrılı uyaran sinyallerinin beyne iletimi bu reseptörlere
    özgü yollarla taşınmaktadır (Büyükgönenç ve Törüner, 2018; Moayedi ve Davis, 2013). Yani
    spesifik bir uyarıyı beyinde temsil eden kendine özel bir reseptörü vardır (Trachsel ve Cascella,
    2022; Büyükgönenç ve Törüner, 2018; Moayedi ve Davis, 2013).
    Patern Teorisi: Bu teoriye göre beyinde ağrı hissinin başlayabilmesi için önce uyarının
    birikmesi gerekmektedir (Törüner ve Büyükgönenç, 2017; Moayedi ve Davis, 2013).
    Kapı Kontrol Teorisi: 1965 yılında Patrick David Wall ve Ronald Melzack tarafından
    ileri sürülmüştür (Trachsel ve Cascella, 2022; Büyükgönenç ve Törüner, 2018; Mendell, 2014).
    Bu teoriye göre ağrının beyne iletilebilmesi için bu uyarının önce omurilikte üç yere gitmesi
    gerekmektedir. Omuriliğin bu üç bileşeninin karmaşık etkileşimi sonucu ağrı hissedilebilir
    (Trachsel ve Cascella, 2022). Bu süreç sırasında eğer spinal kordda kapı kapanırsa beyin
    periferden omuriliğe gelen uyarıyı almaz (Trachsel ve Cascella, 2022; Büyükgönenç ve
    Törüner, 2018). Ancak bu uyarı belirli bir yoğunluk düzeyine ulaşırsa kapı açılır. Kapı açılırsa
    uyarı beyne iletilebilir ve ağrı hissi oluşabilir. Bu teoriye göre bilişsel, duyuşsal ve psikolojik
    faktörler kapının açılıp kapanmasını etkiler (Trachsel ve Cascella, 2022; Büyükgönenç ve
    Törüner, 2018). Geçmişte olumsuz ağrı deneyimi yaşanmışsa korteks spinal korda kapıyı kapat

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    sinyalini gönderemez (Büyükgönenç ve Törüner, 2018). Böylece kapı açılır, ağrı iletimi
    sağlanır ve ağrı hissedilir (Trachsel ve Cascella, 2022; Büyükgönenç ve Törüner, 2018).
    İntensitive Teori: İlk olarak Milattan Önce (MÖ) dördündü yüzyılda Platon tarafından
    kavramsallaştırılan teori, ağrıyı benzersiz bir duyusal deneyim olarak değil, bir uyaranın
    normalden daha güçlü olduğu zaman ortaya çıkan bir duygu olarak tanımlar (Trachsel ve
    Cascella, 2022; Büyükgönenç ve Törüner, 2018; Moayedi ve Davis, 2013).
    Endorfin Teorileri: Endorfin, vücut tarafından salgılanan, narkotik benzeri
    maddelerdir (Törüner ve Büyükgönenç, 2017). Ağrılı uyarana tepki olarak beyinde üretilen
    endorfinler, kan ve spinal sıvıya karışarak ağrı impulslarının baskılanmasına yardım eder
    (Törüner ve Büyükgönenç, 2017).
    Psikolojik Teori: Ağrı subjektif bir duygu olduğu için emosyonel duygular ağrıyı
    etkiler (Büyükgönenç ve Törüner, 2018).
    2.4. AĞRININ SINIFLANDIRILMASI
    Ağrının zamana, fizyopatolojik mekanizmalarına, etyolojik faktörlere ve kaynaklandığı
    bölgeye göre sınıflaması yapılabilir (Büyükgönenç ve Törüner, 2018; Aydın, 2002).
    Ağrının Kaynağına Göre Sınıflandırılması
    Somatik Ağrı: Genellikle deri, iskelet sistemi ve eklemlerin inflamasyon ya da
    zedelenme sonucu periferik sinir uçlarından kaynaklanır (Şentürk, 2018; Orr ve diğ., 2017;
    Törüner ve Büyükgönenç, 2017; Enç, 2014). İyi lokalize olabilen ve genellikle acıma, ezilme,
    zonklama şeklinde ifade edilen ağrı çeşididir (Şentürk, 2018; Törüner ve Büyükgönenç, 2017;
    Enç, 2014).
    Viseral Ağrı: İç organların sinir ucu aktivasyonları ile oluşur (Şentürk, 2018; Orr ve
    diğ., 2017; Törüner ve Büyükgönenç, 2017). İyi lokalize edilemez (Şentürk, 2018; Törüner ve
    Büyükgönenç, 2017; Uyar ve Köken, 2017; Enç, 2014). Kramp, basınç ya da sancı şeklinde
    ifade edilir (Törüner ve Büyükgönenç, 2017).
    Sempatik Ağrı: Sempatik sinir sistemi aktivasyonu ile oluşan damarsal kökenli
    ağrılardır (Aydın, 2002).

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    Periferal Ağrı: Kas, tendon ya da periferik sinir sistemi kaynaklı oluşan ağrılardır
    (Aydın, 2002).
    Ağrının Süresine Göre Sınıflandırılması
    Akut Ağrı: 3-6 ay içinde düzelen, kısa süreli ağrıdır (Törüner ve Büyükgönenç, 2017;
    Orr ve diğ., 2017). Genellikle akut yaralanma veya travma ile ilişkilidir ve vücutta bir uyarı
    sistemi görevi görür (Orr ve diğ., 2017). Birdenbire başlayan lokalize ağrılardır (Törüner ve
    Büyükgönenç, 2017).
    Kronik Ağrı: 3 ay veya daha uzun süren, doku zedelenmesi nedeniyle devam eden
    ağrılardır (Törüner ve Büyükgönenç, 2017; Orr ve diğ., 2017).
    2.5. AĞRIYA TEPKİLERİ ETKİLEYEN FAKTÖRLER
    Ağrı algısı subjektiftir. Bu nedenle her bireyin ağrı algısına karşı gösterdiği tepkiler
    farklılık gösterebilir (Büyükgönenç ve Törüner, 2018).
    Ağrı algısının hissedilebileceği minimum stimulus değerine ağrı eşiği adı verilir
    (Güldoğuş ve diğ., 2013; Çöçelli ve diğ., 2008). Her birey nosisepsiyonu merkezi sinir
    sistemine iletmek için ortak anatomik yapıya sahip olsa da biyolojik, psikolojik, sosyal, kültürel
    ve çevresel birçok faktör ağrının algılanma yoğunluğunu etkileyerek ağrı eşik değerini değiştirir
    (Yılmaz ve Karaca, 2019; Büyükgönenç ve Törüner, 2018; Peters, 2015; Güldoğuş ve diğ.,
    2013; Elçigil, 2011; Shankland II, 2011; Wood, 2010). Çocukların ağrı iletim mekanizması da
    yetişkinler gibi nöral etkileşimler ile yürütülür (Yılmaz ve Karaca, 2019). Bu durumda
    çocukların da bu etkileşimler sonucu algıladığı ağrı seviyesi çeşitli faktörlerden etkilenebilir
    (Yılmaz ve Karaca, 2019).
    Biyolojik Faktörler: Yaş, cinsiyet, genetik gibi kişiye özel biyolojik etkenler ağrı
    algısına etki eden faktörlerdendir (Yılmaz ve Karaca, 2019; Güldoğuş ve diğ. 2013; Elçigil,
    2011; Shankland II, 2011; Wood, 2010). Oyun çocukluğu (1-3 yaş) dönemi ile adölesan (12-18
    yaş) dönemindeki ağrı algısı ve ağrıya verilen tepkiler birbirinden farklıdır (Yılmaz ve Karaca,
    2019; Elçigil, 2011). Yapılan çalışmalarda cinsiyet faktörünün, bilişsel gelişim seviyesi,
    genetik vb. faktörlerin etkisi olmadan ağrı yoğunluğunu etkilemediği fakat ağrıyı algılama ve
    ifade etme süreçlerinde önemli rol oynadığı belirtilmiştir (Boerner ve diğ., 2017; Matziou ve
    diğ., 2016). Ağrıya karşı hassasiyet, ebeyevnlerden aktarılan genetik bilgiye göre
    şekillenmektedir (Yılmaz ve Karaca, 2019). Bunların yanı sıra kişinin mizacı, bilişsel gelişim

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    seviyesi, içinde bulunduğu yorgunluk ya da hastalık gibi durumlar da ağrıya verilen tepkiyi
    etkileyen faktörlerdendir (Yılmaz ve Karaca, 2019; Shankland II, 2011; Çöçelli ve diğ., 2008).
    Psikolojik Faktörler: Kişinin hissettiği duygular ağrı algısını etkiler (Peters, 2015).
    Kişinin yaşadığı anksiyete, depresyon, öfke ve geçmiş ağrı deneyimlerine bağlı korku gibi
    olumsuz duygular kişinin ağrı eşiğini azaltarak ağrı algısını arttırabilir (Peters, 2015; Güldoğuş
    ve diğ., 2013; Shankland II, 2011; Wood, 2010). Bunun yanı sıra olumlu duygular ağrı eşiğini
    arttırarak hissedilen ağrıyı azaltır (Peters, 2015).
    Sosyal Faktörler: Kişinin dikkatini ağrı üzerine yoğunlaştırması ağrı hissini arttıran
    sosyal faktörlerden biridir (Yılmaz ve Karaca, 2019). Bunun yanında aile ve sosyal çevre
    desteği, geçmişte yaşadığı ağrı deneyimleri algılanan ağrıyı etkiler (Yılmaz ve Karaca, 2019;
    Shankland II, 2011; Wood, 2010; Çöçelli ve diğ., 2008).
    Kültürel Faktörler: Kişi ağrıya yüklenilen anlam ve ağrı karşısında verilecek tepkileri
    çevresini gözlemleyerek öğrenir (Yılmaz ve Karaca, 2019). Bu nedenle kültürel inanç ve
    değerler ağrı sürecini etkileyen önemli faktörlerden biridir (Özyazıcıoğlu ve diğ., 2019; Yılmaz
    ve Karaca, 2019; Elçigil, 2011).
    Çevresel Faktörler: Fiziki ortamın uygunsuz olması ya da rahatsız edici bir ortamda
    bulunulması ağrı yoğunluğunu arttıran faktörlerdendir (Çöçelli ve diğ., 2008).
    2.6. ÇOCUKLARDA AĞRI DEĞERLENDİRMESİ
    Ağrı değerlendirmesi, ağrı yönetiminin ilk adımıdır (Taplak ve Polat, 2019; Stinson ve
    Jibb, 2014). Uygun ağrı yönetim sürecinin planlanabilmesi için ağrının tüm yönleri ile ele
    alınarak değerlendirilmesi şarttır (Taplak ve Polat, 2019; Stinson ve Jibb, 2014).
    Ağrı değerlendirmesi ağrı ölçümü ile aynı anlamı taşımaz (Taplak ve Polat, 2019;
    Büyükgönenç ve Törüner, 2018). Ağrının ölçülmesi sayısal bir değeri ifade ederken ağrının
    değerlendirilmesinde, ağrının şiddeti, yeri, süresi, sıklığı, arttıran ve azaltan faktörler belirlenir
    (Taplak ve Polat, 2019; Büyükgönenç ve Törüner, 2018)
    Çocuklarda ağrının tanılanması ve değerlendirilmesi yetişkinlerden daha zordur
    (Büyükgönenç ve Törüner, 2018; Stinson ve Jibb, 2014). Değerlendirme süreci, ağrıyı etkileyen
    faktörlere ek olarak çocuğun anlama, yorumlama ve tepki verme süreçlerindeki değişimlerden
    de etkilenir (Törüner ve Büyükgönenç, 2017; Stinson ve Jibb, 2014). Bu nedenle çocuklarda

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    ağrının algılanması ve ifade edilmesi yaş dönemlerine göre farklılık gösterdiğinden ağrının
    değerlendirilmesi de gelişim dönemlerine göre farklılık gösterir (Taplak ve Polat, 2019).
    Ağrı değerlendirmesinde kullanılacak üç temel yaklaşım öz bildirim, fizyolojik
    göstergeler ve davranışsal göstergelerdir (Stinson ve Jibb, 2014). Ağrı değerlendirmesinde eğer
    elde edilebiliyorsa kişisel ifade en iyi ölçüm metodudur ve ağrı ölçümünde “altın standart”
    olarak adlandırılır (Keskin ve diğ., 2021; Törüner ve Büyükgönenç, 2017; Twycross ve diğ.,
    2015). Ancak birçok nedenlerle çocuklar ağrısını ifade edemeyebilir (Aslan, 2006). Kişisel
    ifadeye dayalı ağrı bildirim yöntemleri, bilişsel ve sözel beceri gerektirdiğinden okul öncesi
    dönemden başlayarak kullanılabilir. Çocukların ağrıları sorulurken alışık olduğu sözcüklerin
    seçilmesi gerekir (Törüner ve Büyükgönenç, 2017).
    Ağrı değerlendirilmesi sırasında öz bildirimin yanında fizyolojik ve davranışsal
    göstergelere de başvurulur (Twycross ve diğ., 2015). Ağrısını ifade edemeyen bebeklerin ve
    küçük çocukların, dil sorunu olan veya konfüzyondaki hastaların ağrılarının
    değerlendirilmesinde davranışsal ağrı ölçüm yöntemlerinden ve fizyolojik parametrelerden
    yararlanılır (Törüner ve Büyükgönenç, 2017). Etkili ağrı değerlendirmesinin yapılabilmesi için
    çocuğun gelişim dönemlerine göre ağrıya karşılık oluşan fiziksel ve davranışsal değişiklikleri
    iyi bilmek gerekmektedir (Taplak ve Polat, 2019).
    2.6.1. Ağrı Durumunda Görülen Fizyolojik, Davranışsal ve Sözel Değişiklikler
    Ağrı, vücutta strese neden olur (Büyükgönenç ve Törüner, 2018; Cowen ve diğ., 2015).
    Bu nedenle ağrı sırasında vücutta çeşitli istenmeyen davranışsal ve fizyolojik değişiklikler
    oluşmaktadır (Büyükgönenç ve Törüner, 2018).
    Ağrı sırasında görülen fizyolojik değişikler; kalp hızı, kan basıncı ve solunum hızında
    artış, oksijen satürasyonunda düşme ve terlemedir (Büyükgönenç ve Törüner, 2018; Cowen ve
    diğ., 2015). Akut dönemde ağrının kontrol edilememesi hızlı ve yüzeyel solunuma neden
    olurken öksürme refleksi baskılanır (Özkan ve Mucuk, 2019; Büyükgönenç ve Törüner, 2018).
    Bunun sonunda sekresyonda birikme ile oksijen satürasyonunda azalma görülür (Büyükgönenç
    ve Törüner, 2018). Atelektazi ve pulmoner enfeksiyon riski artar (Özkan ve Mucuk, 2019). Ağrı
    durumunda katekolamin salınımı ile sempatik sistem etkilenerek kalp tepe atımı ve kan
    basıncını yükseltebilir (Reisli ve diğ., 2021; Erden ve diğ., 2018). Ancak ağrıya verilen
    fizyolojik tepkiler stres verici diğer durumlarda görülen tepkilerle benzerlik gösterdiğinden
    ağrıya özgü olup olmadığını ayırt etmek güçtür (Törüner ve Büyükgönenç, 2017).

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    Yoğun ağrı deneyimlendiğinde immün sistem baskılanabilir, enfeksiyona yatkınlık,
    intrakranial basınç ve intraventriküler hemoraji riski artar (Özkan ve Mucuk, 2019;
    Büyükgönenç ve Törüner, 2018). Ağrıya bağlı oluşan terleme ile sıvı elektrolit dengesizlikleri
    görülebilir (Büyükgönenç ve Törüner, 2018; Cowen ve diğ., 2015). Çocukların ağrıya verdiği
    davranışsal ve sözel tepkiler tablo 2.1.’de verilmiştir.
    Tablo 2.1: Ağrıya Davranışsal ve Sözel Tepkiler
    Yaş Davranışsal Tepkiler Sözel Tepkiler
    0-6 ay Jeneralize beden hareketleri, beslenme bozukluğu,
    yüz ifadesinde farklılaşma
    Ağlama
    6-12 ay Uyku bozukluğu, irritabilite, uyarandan refleks olarak
    kaçma
    Ağlama
    1-3 yaş Uyku bozukluğu, agresif davranış, içe dönme Ağlama, ağrının şiddetini
    tanımlayamama
    3-6 yaş Aktif fiziksel direnç Ağrının yerini, şiddetini ve özelliklerini
    tanımlayabilir
    7-12 yaş Vücudu gergin tutma, duygusal olarak içe dönme,
    regresyon, okul başarısında düşüş
    Ağrının yerini, şiddetini ve özelliklerini
    ayrıntılı biçimde tanımlayabilir
    Adölesan Davranışlarını kontrol edememe, konsantre olamama,
    okul başarısızlığı
    Ağrı ve ağrının anlamı ile ilgili ayrıntılı
    bilgi verir
    (Törüner, E. K., ve Büyükgönenç, L. (Ed.). (2017). Çocuklarda Ağrı Yönetimi. İçinde, Çocuk Sağlığı: Temel Hemşirelik Yaklaşımları. Ankara:
    Nobel Tıp Kitapevleri; 95-107.)
    2.6.2. Ağrı Değerlendirmesinde Kullanılan Ölçekler
    Ağrı değerlendirmesinde kullanılan ölçekler; kişisel ifadeye dayalı ölçekler, davranış
    biçimine dayalı ölçekler, biyolojik parametrelere dayalı ağrı ölçümleri ve kombine skalalar
    olmak üzere 4 grupta incelenebilir (Reisli ve diğ., 2021).
    6 yaşından küçük veya sözlü iletişim kurulamayan çocuklarda davranışsal ağrı ölçekleri
    kullanılırken 6 yaş ve üzeri çocuklarda öz bildirim altın standart kabul edildiğinden sayısal
    derecelendirme skalaları gibi kişisel ifadeye dayalı ölçekler kullanılması önerilmektedir
    (Eccleston ve diğ., 2021; Beltramini ve diğ., 2017).

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    Kişisel ifadeye dayalı, Yüzler Ağrı Ölçeği-YAÖ (Wong-Baker Faces Pain Rating Scale),
    Oucher Fotoğrafik Ağrı Ölçeği (Oucher pain Scale), Poker Fişi Ağrı Ölçeği (Poker Chip), Okul
    Öncesi Çocuklarda Ameliyat Sonrası Ağrı Ölçeği (The Toddler-Preschooler Postoperative Pain
    Scale-TPPPS), Yüz Ağrı Ölçeği – Revize (Faces Pain Scale-Revised-FPS-R), Sözel
    Tanımlayıcı Ölçek (Verbal Descriptor Scale-VDS), Sayısal Ağrı Ölçeği (Numerical Analogue
    Scale), Görsel Kıyaslama Ölçeği (Visual Analog Scale-VAS), Adölesan Pediatrik Ağrı Ölçeği
    (Adolescent Paediatric Pain Tool-APPT) sık kullanılan ölçeklerdendir (Brand, 2022; Sezer ve
    diğ., 2021; Büyükgönenç ve Törüner, 2018; Hicks ve diğ., 2001).
    2.7. ÇOCUKLARDA ORTOPEDİK TRAVMATOLOJİK SORUNLAR VE AĞRI
    Çocuk ve ergenlerde kas-iskelet sistemi ile alakalı bir sorun yaşama riski yaklaşık
    %90’dır (Heifti, 2015). Çocukluk çağında görülen ortopedik sorunların etkili ve erken
    tedavisinin yapılmaması ileri yaşlarda gelişim gerilikleri ve sakatlıklara neden olabilir. Bu
    nedenle yapılacak girişimlerle deformite gelişimini önlemek, eklemin hareket açıklığını
    korumak, tedavi ve hastalık süreçlerinin büyüme gelişme dönemlerine olumsuz etkisini
    engellemek ve ortopedik sorunların tedavisi sırasında ağrıyı azaltmak son derece önemlidir.
    (Demir, 2012).
    7-12 yaş arası sık görülen ve ameliyat gerektiren alt ve üst ekstremiteye ilişkin ortopedik
    ve travmatolojik sorunların bazıları şunlardır:
    Kemik deformiteleri: Kemiğin anatomik olarak normal yapısından sapması ve şekil
    bozukluğu oluşmasını ifade eden ortopedik sorunlardır (Oto, 2020). Genellikle yüksek enerjili
    travmalar nedeniyle oluşabileceği gibi konjenital malformasyon, enfeksiyon ve tümor nedenli
    de oluşabilir (Shabunin ve diğ., 2021; Oto, 2020). Çocukluk çağındaki fiziksel engellilik
    vakalarının yaklaşık %30'u konjenital patolojilidir ve alt ekstremitelerin gelişimsel anomalileri
    ile ilişkilidir (Shabunin ve diğ., 2021). Alt ekstremite deformiteleri, genç yaşta ağrılı dejeneratif
    eklem artritine yol açan normal mekanik dizilimi değiştirir. Osteogenezis imperfekta, proksimal
    fokal femoral yetmezlik, fibula hemimelia, osteokondromatozis ve kırık malunion üst ve alt
    ekstremite kemiklerinde belirgin şekil bozukluğuna neden olan ve cerrahi tedavi gerektiren
    durumlara örnektir. Mevcut tedavi yöntemleri genellikle karmaşık cerrahi prosedürleri ve uzun
    süreli rehabilitasyonu içerir (Firoozbakhsh ve diğ., 2004).

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    Femur Kırıkları: Genellikle yüksek enerjili travmalar nedeniyle oluşurlar (Tokyay,
    2021; Muratlı ve Selçuk, 2019; Smith, 2003). Travmanın dışında çocuk istismarı, stres ve
    patolojik kaynaklı da olabilir (Muratlı ve Selçuk, 2019). Bölgesel ağrı ve hassasiyet bulguları
    görülebilir (Tokyay, 2021; Muratlı ve Selçuk, 2019). Anamnez, fizik muayene ve görüntüleme
    tetkikleri sonucu tedavi planlaması yapılır (Muratlı ve Selçuk, 2019). Traksiyon, pelvipedal alçı
    ya da cerrahi müdahale ile çivileme yapılarak tedavi edilir (Tokyay, 2021; Muratlı ve Selçuk,
    2019).
    Tibia Kırıkları: Çocuklarda tibia kırıkları diğer travmalara kıyasla daha sık görülen
    kırıklardır (Bilge ve Aksoy, 2008; Smith, 2003). Sıklıkla düşme nedeniyle görülür (Geçkil ve
    diğ., 2018; Smith, 2003). Kırık bölgesinde ağrı, hassasiyet ve şişlik görülebilir (Çamurdan ve
    diğ., 2019). Travma sonrası ortaya çıkan ağrıya duyarlılığın artması, ödem, anormal aktivite ve
    deri kan akımında anormalliğe bağlı kompleks bölgesel ağrı sendromu görülebilir (Şaş ve diğ.,
    2017). Genellikle grafiler yardımı ile tanılanır. Şüpheli durumlarda ileri görüntüleme
    yöntemlerine başvurulur. Büyüme kıkırdağının bu bölgede yer alması nedeniyle önem arz eden
    kırıklardır (Çamurdan ve diğ., 2019). Alçı uygulaması ile iyileşmeyen durumlarda ve bazı
    özellikli kırıklarda tedavi cerrahidir (Çamurdan ve diğ., 2019; Gönen ve Ateş, 2008).
    Önkol Kırıkları: Çocukluk çağında en sık görülen kırık türlerinden biridir (Yıldız ve
    Erdem, 2019; Franklin ve diğ., 2012). Sıklıkla el üzerine düşme sonucu oluşsa da istismar
    kaynaklı da olabilir (Yıldız ve Erdem, 2019). Ağrı, şişlik ve şekil bozukluğu nedeniyle kolay
    tanılanır (Arıcan ve diğ., 2015). Tedavisi alçılama ya da cerrahidir (Yıldız ve Erdem, 2019;
    Franklin ve diğ., 2012).
    Dirsek Kırıkları: Ağrı, instabilite ve sertliğe neden olabilen karmaşık yaralanmalardır
    (Watts ve diğ., 2021). Genellikle dirsek ekstansiyonda el açıkken üzerine düşmeler sonucu
    oluşur (Kalenderer ve Erkuş, 2019). En sık görüleni humerus suprakondiller kırığıdır
    (Kalenderer ve Erkuş, 2019). Transfiziyel kırıklar, lateral kondil kırıkları, proksimal radius
    kırıkları ve medial epikondil kırıkları da diğer dirsek kırıklarına örnektir (Degnan ve diğ., 2019;
    Kalenderer ve Erkuş, 2019). Fizik muayene ve ileri görüntüleme teknikleri kullanılarak
    tanılanır (Kalenderer ve Erkuş, 2019; Lee ve diğ., 2019). Klinik duruma göre tedavide cerrahi
    tercih edilebilir (Kalenderer ve Erkuş, 2019).

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    2.8. ÇOCUKLARDA ORTOPEDİK TRAVMATOLOJİK SORUNLAR İLE İLİŞKİLİ
    AMELİYAT ÖNCESİ VE SONRASI AĞRI YÖNETİMİ
    Ortopedi ve travmatoloji ameliyatları, kas, kemik ve doku onarım ya da
    rekonstrüksiyonu nedeniyle özellikle ameliyat sonrası dönem açısından en ağrılı ameliyat
    türlerinden biridir (Ökten ve diğ., 2022; Lin ve diğ., 2020).
    Ameliyat öncesi dönemin kötü yönetilmesi ameliyat sonrası dönemde görülen ağrının
    kontrolünü zorlaştıran faktörlerden biridir (Yang ve diğ., 2019). Ortopedi hastaları ameliyat
    öncesi dönemde de ağrı ve rahatsızlık hissini yaşadıkları için medikal tedaviye ameliyat öncesi
    süreçte başlanır (Ökten ve diğ., 2022). Bu nedenle ameliyat öncesi dönemde koruyucu analjezi
    uygulaması ameliyat sonrası dönemde oluşacak ağrı komplikasyon riskini azaltmaktadır (Ökten
    ve diğ., 2022; Aydınlı, 2014).
    Ameliyat sonrası ağrı yönetimi, hasta bakımının en önemli bileşenlerinden biridir
    (Imani, 2011). Ameliyat sonrası ağrının yönetimindeki ana hedef, hem yeterli analjezi sağlamak
    hem de yan etkileri nedeniyle ilaç dozunu en aza indirmektir (Kolettas ve diğ., 2015). Ameliyat
    sonrası ağrı yönetimi sırasında multidisipliner bir yaklaşım ile bireye uygun ağrı yönetimi
    planlanmalı ve uygulanmalıdır (Kolettas ve diğ., 2015).
    Pediatrik cerrahi hastaları, yetersiz ağrı yönetimi riski altında olan bir popülasyondur
    (Mekonnen ve diğ., 2021). Pediatrik cerrahi hastaları ile yapılan bir çalışmada 153 çocuğun
    ameliyat sonrası orta-şiddetli ağrı prevalansı %40.5 olarak bulunmuştur (Mekonnen ve diğ.,
    2021).
    Ameliyat sonrası dönem ağrısının etkisiz yönetilmesi çocuk için birçok olumsuz
    durumu ortaya çıkartır (Rawal, 2016). Mevcut tedavilerin multidisipliner bir şekilde
    uygulanmaması, klinik hemşirelerinin ağrının yönetilmesi konusunda hizmet içi eğitimlerle
    desteklenmemesi, standart protokollerin yaygın kullanılmaması ve düzenli denetlenmemesi
    gibi durumlar ameliyat sonrası ağrı yönetimini etkileyen faktörlerdendir (Büyükgönenç ve
    Törüner, 2018; Rawal, 2016). Ameliyat öncesi dönemde analjezi kullanımı, intraoperatif
    analjezikler, kronik ağrı, cerrahi türü, anksiyete, yaşanan ağrı ve ameliyattaki kesi uzunluğu
    ameliyat sonrası ağrının yönetimini etkileyen faktörlerdendir (Mekonnen ve diğ., 2021).
    Çocukların ameliyat sonrası dönem ağrısı erken ele alınıp tedavi edilmediğinde; ruh
    hali, uyku, iştah, okula devam, akademik performans, spor ve diğer ders dışı etkinliklere katılım
    etkilenebilir ve bu durum çocuğun yaşam kalitesini azaltabilir. Ağrıya tekrar maruz kalmak,

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