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Which types of bony changes in the maxillary sinus indicate chronic sinusitis?
S Mays1, S Stark2, S Zakrzewski3
1Investigative Science, Historic England, UK; Department of Archaeology, University of Southampton, UK; School of History, Classics and Archaeology, University of Edinburgh, UK.
International Journal of Paleopathology
|June 12, 2024
Summary
Porous bone lesions in the maxillary sinus indicate sinusitis, unlike spicules or lobules. This finding is crucial for accurately assessing past sinusitis prevalence in skeletal studies.
Area of Science:
- Paleopathology
- Bioarchaeology
- Human Skeletal Biology
Background:
- Maxillary sinusitis is a key health indicator in paleopathology.
- Spicular deposits are often misinterpreted as indicators of sinusitis.
Purpose of the Study:
- To differentiate bone lesion types in the maxillary sinus that indicate sinusitis.
- To reassess the prevalence of sinusitis in past populations.
Main Methods:
- Analysis of bone lesions (spicules, lobules, porous bone) in the maxillary sinus.
- Comparison of lesion frequency above diseased versus healthy posterior maxillary teeth in a British Mediaeval skeletal collection.
Main Results:
- Porous bone lesions in the maxillary sinus are associated with subadjacent dental disease.
- Spicules and lobules of bone within the sinus are not linked to dental disease.
Conclusions:
- Only porous bone lesions should be considered indicative of maxillary sinusitis.
- Separate analysis of spicules, lobules, and porous lesions is essential for biocultural studies.
- Previous estimations of bony sinusitis prevalence may have been overestimated.
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