A. Zubova, N. Ananyeva, V. Moiseyev, I. K. Stulov, L. Dmitrenko, A. Obodovskiy, N. Potrakhov, A. Kulkov, E. Andreev
{"title":"The Use of Computed Tomography for the Study of Chronic Maxillary Sinusitis: Based on Crania from the Pucará De Tilcara Fortress, Argentina","authors":"A. Zubova, N. Ananyeva, V. Moiseyev, I. K. Stulov, L. Dmitrenko, A. Obodovskiy, N. Potrakhov, A. Kulkov, E. Andreev","doi":"10.17746/1563-0110.2020.48.3.143-153","DOIUrl":null,"url":null,"abstract":"We discuss the methodological advantages of using X-ray computed tomography (CT) for diagnosing chronic maxillary sinusitis (CMS) of various etiologies on skeletal samples. A CT examination of 20 crania from the Pucara de Tilcara fortress, Argentina (late 8th to 16th centuries AD), was carried out. Criteria for identifying CMS included osteitic lesions in the form of focal destruction, and thickened and sclerotized walls of maxillary sinuses. To determine the etiology of the disease, a tomographic and macroscopic examination of the dentition and bones of the ostiomeatal complex were performed, the presence or absence of facial injuries was assessed, and the co-occurrence of various pathologies was statistically evaluated. Five cases of CMS were identified. Four of these may be of odontogenic origin; in two cases, a secondary infection of the maxillary sinuses is possible. In one instance, the etiology was not determined. No indications of traumatic infection were found. Statistical analysis revealed a relationship of CMS with apical periodontitis and the ante-mortem loss of upper molars and premolars. An indirect symptom of CMS may be the remodeled bone tissue and porosity of the posterior surface of the maxilla.","PeriodicalId":45750,"journal":{"name":"Archaeology Ethnology and Anthropology of Eurasia","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2020-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archaeology Ethnology and Anthropology of Eurasia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17746/1563-0110.2020.48.3.143-153","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANTHROPOLOGY","Score":null,"Total":0}
引用次数: 1
Abstract
We discuss the methodological advantages of using X-ray computed tomography (CT) for diagnosing chronic maxillary sinusitis (CMS) of various etiologies on skeletal samples. A CT examination of 20 crania from the Pucara de Tilcara fortress, Argentina (late 8th to 16th centuries AD), was carried out. Criteria for identifying CMS included osteitic lesions in the form of focal destruction, and thickened and sclerotized walls of maxillary sinuses. To determine the etiology of the disease, a tomographic and macroscopic examination of the dentition and bones of the ostiomeatal complex were performed, the presence or absence of facial injuries was assessed, and the co-occurrence of various pathologies was statistically evaluated. Five cases of CMS were identified. Four of these may be of odontogenic origin; in two cases, a secondary infection of the maxillary sinuses is possible. In one instance, the etiology was not determined. No indications of traumatic infection were found. Statistical analysis revealed a relationship of CMS with apical periodontitis and the ante-mortem loss of upper molars and premolars. An indirect symptom of CMS may be the remodeled bone tissue and porosity of the posterior surface of the maxilla.
我们讨论了x线计算机断层扫描(CT)在骨骼样本上诊断各种病因的慢性上颌鼻窦炎(CMS)的方法学优势。对来自阿根廷Pucara de Tilcara要塞(公元8世纪末至16世纪)的20个颅骨进行了CT检查。鉴别CMS的标准包括局灶性破坏形式的骨病变,上颌窦壁增厚和硬化。为了确定疾病的病因,对牙列和口鼻道复合体的骨骼进行了断层扫描和宏观检查,评估了面部损伤的存在或不存在,并对各种病理的共同发生进行了统计评估。确诊5例CMS。其中四个可能是牙源性的;在两种情况下,上颌窦继发感染是可能的。在一个病例中,病因尚未确定。没有发现创伤性感染的迹象。统计分析显示CMS与根尖牙周炎及死前上磨牙和前磨牙的脱落有关。CMS的一个间接症状可能是骨组织的重塑和上颌骨后表面的孔隙。
期刊介绍:
This international journal analyzes and presents research relating to the archaeology, ethnology and anthropology of Eurasia and contiguous regions including the Pacific Rim and the Americas. The journal publishes papers and develops discussions on a wide range of research topics including: Quaternary geology; pleistocene and Holocene paleoecology ; methodology of archaeological, anthropological and ethnographical research, including field and laboratory study techniques; early human migrations; physical anthropology; paleopopulation genetics; prehistoric art; indigenous cultures and ethnocultural processes.