{"title":"利用计算机断层扫描诊断中世纪后荷兰农村社区(公元 1829-1866 年)骸骨中的慢性额窦炎","authors":"","doi":"10.1016/j.jas.2024.106041","DOIUrl":null,"url":null,"abstract":"<div><p>Chronic frontal sinusitis (CFS) has afflicted humanity throughout history and continues to be a significant global health issue today. In bioarchaeology, sinusitis is often diagnosed through the identification of bone alterations within the maxillary sinus cavities by macroscopic and/or endoscopic examination. However, due to the inaccessible nature of frontal sinuses, CFS specifically has not been studied extensively archaeologically yet. This paper aims to demonstrate the effectiveness of diagnosing CFS through computed tomography (CT), highlighting the potential of radiographical imaging for future advancements in paleopathological research.</p><p>We conducted a CT examination of 41 crania from the rural community of Middenbeemster, the Netherlands (AD 1829–1866) to assess the presence of CFS. Criteria for identifying CFS included bone formation and/or thickening of the sinus walls. Our analysis revealed that 14 individuals (34.1%) exhibited signs of CFS in one or both frontal sinuses. We found that males exhibited a slightly higher CFS prevalence (38%) than females (32%), although no significant correlation between sex and sinusitis occurrence was found. This lack of correlation suggests equal exposure to risk factors (e.g., indoor air quality, environmental pollution, allergens, and cold weather) among both sexes.</p><p>To our knowledge, this study is the first of its kind to confirm the presence of CFS through CT scanning in an archaeological skeletal collection. It demonstrates that computed tomography allows for a straightforward and non-destructive detection of sinusitis in archaeological assemblages. Considering the currently limited bioarchaeological research on frontal sinusitis, our findings should be considered relevant and promising for future osteoarcheological studies on upper respiratory diseases.</p></div>","PeriodicalId":50254,"journal":{"name":"Journal of Archaeological Science","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Using computed tomography to diagnose chronic frontal sinusitis in the skeletal remains of a post-medieval Dutch rural community (AD 1829–1866)\",\"authors\":\"\",\"doi\":\"10.1016/j.jas.2024.106041\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Chronic frontal sinusitis (CFS) has afflicted humanity throughout history and continues to be a significant global health issue today. In bioarchaeology, sinusitis is often diagnosed through the identification of bone alterations within the maxillary sinus cavities by macroscopic and/or endoscopic examination. However, due to the inaccessible nature of frontal sinuses, CFS specifically has not been studied extensively archaeologically yet. This paper aims to demonstrate the effectiveness of diagnosing CFS through computed tomography (CT), highlighting the potential of radiographical imaging for future advancements in paleopathological research.</p><p>We conducted a CT examination of 41 crania from the rural community of Middenbeemster, the Netherlands (AD 1829–1866) to assess the presence of CFS. Criteria for identifying CFS included bone formation and/or thickening of the sinus walls. Our analysis revealed that 14 individuals (34.1%) exhibited signs of CFS in one or both frontal sinuses. We found that males exhibited a slightly higher CFS prevalence (38%) than females (32%), although no significant correlation between sex and sinusitis occurrence was found. This lack of correlation suggests equal exposure to risk factors (e.g., indoor air quality, environmental pollution, allergens, and cold weather) among both sexes.</p><p>To our knowledge, this study is the first of its kind to confirm the presence of CFS through CT scanning in an archaeological skeletal collection. It demonstrates that computed tomography allows for a straightforward and non-destructive detection of sinusitis in archaeological assemblages. Considering the currently limited bioarchaeological research on frontal sinusitis, our findings should be considered relevant and promising for future osteoarcheological studies on upper respiratory diseases.</p></div>\",\"PeriodicalId\":50254,\"journal\":{\"name\":\"Journal of Archaeological Science\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2024-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Archaeological Science\",\"FirstCategoryId\":\"89\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0305440324001092\",\"RegionNum\":1,\"RegionCategory\":\"地球科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ANTHROPOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Archaeological Science","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0305440324001092","RegionNum":1,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ANTHROPOLOGY","Score":null,"Total":0}
Using computed tomography to diagnose chronic frontal sinusitis in the skeletal remains of a post-medieval Dutch rural community (AD 1829–1866)
Chronic frontal sinusitis (CFS) has afflicted humanity throughout history and continues to be a significant global health issue today. In bioarchaeology, sinusitis is often diagnosed through the identification of bone alterations within the maxillary sinus cavities by macroscopic and/or endoscopic examination. However, due to the inaccessible nature of frontal sinuses, CFS specifically has not been studied extensively archaeologically yet. This paper aims to demonstrate the effectiveness of diagnosing CFS through computed tomography (CT), highlighting the potential of radiographical imaging for future advancements in paleopathological research.
We conducted a CT examination of 41 crania from the rural community of Middenbeemster, the Netherlands (AD 1829–1866) to assess the presence of CFS. Criteria for identifying CFS included bone formation and/or thickening of the sinus walls. Our analysis revealed that 14 individuals (34.1%) exhibited signs of CFS in one or both frontal sinuses. We found that males exhibited a slightly higher CFS prevalence (38%) than females (32%), although no significant correlation between sex and sinusitis occurrence was found. This lack of correlation suggests equal exposure to risk factors (e.g., indoor air quality, environmental pollution, allergens, and cold weather) among both sexes.
To our knowledge, this study is the first of its kind to confirm the presence of CFS through CT scanning in an archaeological skeletal collection. It demonstrates that computed tomography allows for a straightforward and non-destructive detection of sinusitis in archaeological assemblages. Considering the currently limited bioarchaeological research on frontal sinusitis, our findings should be considered relevant and promising for future osteoarcheological studies on upper respiratory diseases.
期刊介绍:
The Journal of Archaeological Science is aimed at archaeologists and scientists with particular interests in advancing the development and application of scientific techniques and methodologies to all areas of archaeology. This established monthly journal publishes focus articles, original research papers and major review articles, of wide archaeological significance. The journal provides an international forum for archaeologists and scientists from widely different scientific backgrounds who share a common interest in developing and applying scientific methods to inform major debates through improving the quality and reliability of scientific information derived from archaeological research.