Which types of bony changes in the maxillary sinus indicate chronic sinusitis?

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY
S. Mays , S. Stark , S. Zakrzewski , A. Vekony
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Abstract

Objectives

To determine which types of bone lesion (spicules, lobules, porous bone) in the maxillary sinus indicate sinusitis

Methods

Subadjacent dental disease is a cause of maxillary sinusitis; if a lesion type indicates sinusitis it should be more common above diseased posterior maxillary teeth than a lesion type that is not indicative of sinusitis. The study sample is a British Mediaeval human skeletal collection.

Results

Porous bone lesions (chiefly new bone deposits) in maxillary sinuses are associated with subadjacent dental disease; spicules/lobules of bone in the sinus are not.

Conclusions

The results support the idea that porous lesions indicate sinusitis but the spicules/lobules may not. Spicules, lobules and porous lesions within the maxillary sinus should be analysed separately in biocultural studies; it would be prudent to regard only the porous lesions as indicative of sinusitis.

Significance

Maxillary sinusitis is commonly used as a health indicator in palaeopathology, and spicular deposits are generally the most common type of alterations. By assuming that they are indicative of sinusitis we may have been greatly overestimating the prevalence of bony sinusitis in the past.

Limitations

These conclusions are provisional. Further work on larger, more diverse samples, together with more detailed anatomical studies on lesion location and structure is ongoing.

上颌窦中哪种类型的骨质变化表明患有慢性鼻窦炎?
目的确定上颌窦中哪些类型的骨质病变(骨刺、骨小叶、多孔骨)预示着上颌窦炎方法上颌窦炎的病因之一是邻近牙齿疾病;如果一种病变类型预示着上颌窦炎,那么这种病变类型在患病的上颌后牙上方应该比不预示上颌窦炎的病变类型更常见。研究样本是英国中世纪的人类骨骼。结果上颌窦中的多孔骨病变(主要是新骨沉积)与下邻牙疾病有关;而窦中的骨刺/骨小叶则与之无关。在生物文化研究中,应分别分析上颌窦内的骨刺、小叶和多孔性病变;谨慎的做法是仅将多孔性病变视为上颌窦炎的标志。假定这些沉积物是鼻窦炎的标志,我们可能大大高估了过去骨性鼻窦炎的发病率。我们正在对更大规模、更多样化的样本进行进一步研究,并对病变位置和结构进行更详细的解剖学研究。
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来源期刊
CiteScore
2.90
自引率
25.00%
发文量
43
期刊介绍: Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.
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