Which types of bony changes in the maxillary sinus indicate chronic sinusitis
Bibliographic Data
| ID | 21202011 |
|---|---|
| Authors | S Mays (Historic England, corresponding author), Sarah Stark (0000-0001-7032-9993, Historic England), S Zakrzewski (University of Southampton), A Vekony (University of Southampton) |
| Year | 2024 |
| Volume | 46 |
| Pages | 16-23 |
| Publication date | 2024-09-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Paleopathology (JOURNAL) |
| Journal identifiers | ISSN: 1879-9817 • E-ISSN: 1879-9825 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.ijpp.2024.05.003 |
| PMID | 38865933 |
| OpenAlex | W4399564143 |
| Language | EN |
| Citations received | 5 |
| References cited | 72 |
OBJECTIVES: To determine which types of bone lesion (spicules, lobules, porous bone) in the maxillary sinus indicate sinusitis METHODS: Subadjacent dental disease is a cause of maxillary sinusitis; if a lesion type indicates sinusitis it should be more common above diseased posterior maxillary teeth than a lesion type that is not indicative of sinusitis. The study sample is a British Mediaeval human skeletal collection. RESULTS: Porous bone lesions (chiefly new bone deposits) in maxillary sinuses are associated with subadjacent dental disease; spicules/lobules of bone in the sinus are not. CONCLUSIONS: The results support the idea that porous lesions indicate sinusitis but the spicules/lobules may not. Spicules, lobules and porous lesions within the maxillary sinus should be analysed separately in biocultural studies; it would be prudent to regard only the porous lesions as indicative of sinusitis. SIGNIFICANCE: Maxillary sinusitis is commonly used as a health indicator in palaeopathology, and spicular deposits are generally the most common type of alterations. By assuming that they are indicative of sinusitis we may have been greatly overestimating the prevalence of bony sinusitis in the past. LIMITATIONS: These conclusions are provisional. Further work on larger, more diverse samples, together with more detailed anatomical studies on lesion location and structure is ongoing
Biology · Chronic sinusitis · Lesion · Maxillary sinus · Pathology · Sinusitis · Dental Radiography and Imaging · Dentistry · Medicine · Oral and Maxillofacial Pathology · Sinusitis and nasal conditions · Anatomy · Surgery
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| Unique citing works | 5 |
|---|---|
| Citations per year | 5 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |