{"title":"慢性上颌窦炎：骨学诊断法与 CT 诊断法的比较","authors":"Maia Casna, Sarah A. Schrader","doi":"10.1016/j.ijpp.2024.04.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To assess the differences between endoscopic and radiological methods of analysis for diagnosing chronic maxillary sinusitis (CMS) in archaeological skeletal remains.</p></div><div><h3>Materials</h3><p>32 crania from a Dutch post-medieval rural population.</p></div><div><h3>Methods</h3><p>We assessed the presence of bone changes indicative of CMS (i.e., bone growth and bone resorption) both endoscopically and through computed tomography (CT), and then compared results.</p></div><div><h3>Results</h3><p>We observed moderate agreement between bone growth scores obtained through endoscopy and CT, and fair agreement when assessing bone resorption.</p></div><div><h3>Conclusions</h3><p>CMS prevalence rates observed through CT may be comparable to rates assessed endoscopically, although caution is needed when making direct comparisons.</p></div><div><h3>Significance</h3><p>This is the first study comparing data obtained through endoscopy and radiological methods in the study of CMS, informing paleopathologists about potential biases in data comparison.</p></div><div><h3>Limitations</h3><p>Our small sample size likely impacted results.</p></div><div><h3>Suggestions for further research</h3><p>Further research is advised to fully explore the comparability of endoscopic and radiological method of analysis in the study of sinusitis.</p></div><div><h3>Data Availability</h3><p>The datasets generated and analyzed during the current study are available upon request.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"45 ","pages":"Pages 30-34"},"PeriodicalIF":1.3000,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1879981724001980/pdfft?md5=27f5c47c6913be9bce37225919f47263&pid=1-s2.0-S1879981724001980-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Chronic Maxillary Sinusitis: A comparison of osteological and CT methods of diagnosis\",\"authors\":\"Maia Casna, Sarah A. Schrader\",\"doi\":\"10.1016/j.ijpp.2024.04.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To assess the differences between endoscopic and radiological methods of analysis for diagnosing chronic maxillary sinusitis (CMS) in archaeological skeletal remains.</p></div><div><h3>Materials</h3><p>32 crania from a Dutch post-medieval rural population.</p></div><div><h3>Methods</h3><p>We assessed the presence of bone changes indicative of CMS (i.e., bone growth and bone resorption) both endoscopically and through computed tomography (CT), and then compared results.</p></div><div><h3>Results</h3><p>We observed moderate agreement between bone growth scores obtained through endoscopy and CT, and fair agreement when assessing bone resorption.</p></div><div><h3>Conclusions</h3><p>CMS prevalence rates observed through CT may be comparable to rates assessed endoscopically, although caution is needed when making direct comparisons.</p></div><div><h3>Significance</h3><p>This is the first study comparing data obtained through endoscopy and radiological methods in the study of CMS, informing paleopathologists about potential biases in data comparison.</p></div><div><h3>Limitations</h3><p>Our small sample size likely impacted results.</p></div><div><h3>Suggestions for further research</h3><p>Further research is advised to fully explore the comparability of endoscopic and radiological method of analysis in the study of sinusitis.</p></div><div><h3>Data Availability</h3><p>The datasets generated and analyzed during the current study are available upon request.</p></div>\",\"PeriodicalId\":48817,\"journal\":{\"name\":\"International Journal of Paleopathology\",\"volume\":\"45 \",\"pages\":\"Pages 30-34\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-04-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1879981724001980/pdfft?md5=27f5c47c6913be9bce37225919f47263&pid=1-s2.0-S1879981724001980-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Paleopathology\",\"FirstCategoryId\":\"89\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1879981724001980\",\"RegionNum\":3,\"RegionCategory\":\"地球科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PALEONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Paleopathology","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1879981724001980","RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PALEONTOLOGY","Score":null,"Total":0}
Chronic Maxillary Sinusitis: A comparison of osteological and CT methods of diagnosis
Objective
To assess the differences between endoscopic and radiological methods of analysis for diagnosing chronic maxillary sinusitis (CMS) in archaeological skeletal remains.
Materials
32 crania from a Dutch post-medieval rural population.
Methods
We assessed the presence of bone changes indicative of CMS (i.e., bone growth and bone resorption) both endoscopically and through computed tomography (CT), and then compared results.
Results
We observed moderate agreement between bone growth scores obtained through endoscopy and CT, and fair agreement when assessing bone resorption.
Conclusions
CMS prevalence rates observed through CT may be comparable to rates assessed endoscopically, although caution is needed when making direct comparisons.
Significance
This is the first study comparing data obtained through endoscopy and radiological methods in the study of CMS, informing paleopathologists about potential biases in data comparison.
Limitations
Our small sample size likely impacted results.
Suggestions for further research
Further research is advised to fully explore the comparability of endoscopic and radiological method of analysis in the study of sinusitis.
Data Availability
The datasets generated and analyzed during the current study are available upon request.
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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