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Chronic Maxillary Sinusitis: A comparison of osteological and CT methods of diagnosis
Maia Casna1, Sarah A Schrader1
1Faculty of Archaeology, Leiden University, Einsteinweg 2, Leiden 2333 CC, the Netherlands.
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.
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Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...