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Maxillary sinusitis as an indicator of respiratory health in past populations

Bibliographic Data

ID5222498
AuthorsDeborah C Merrett (0000-0001-9539-7271, University of Manitoba, corresponding author), Susan Pfeiffer (0000-0003-0248-0530, University of Toronto)
Year2000
Volume111
Issue3
Pages301-318
Publication date2000-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Physical Anthropology (JOURNAL)
Journal identifiersISSN: 0002-9483 • E-ISSN: 1096-8644
PublisherWiley (PUBLISHER • GB)
DOI10.1002/(sici)1096-8644(200003)111:3<301::aid-ajpa2>3.0.co;2-0
PMID10685034
OpenAlexW2002825156
LanguageEN
Citations received34
References cited51

Chronic infectious respiratory disease in a past human population is investigated through the quantification of maxillary sinusitis among Iroquoian horticulturists. Three hundred forty-eight right and left maxillae of a Southern Ontario Iroquoian skeletal sample, Uxbridge Ossuary, ca. AD 1440, were examined for evidence of chronic infection (minimum number of individuals = 207: 114 adults, 22 adolescents, 38 juveniles and 33 infants). Modern clinical criteria were applied to differentiate lesions of respiratory and dental origin. Osseous lesions of the maxillary sinuses were observed in 50% of the individuals examined. These lesions are morphologically consistent with nonspecific lesions observed in other past populations that have been attributed to the presence of pathogens. The prevalence of maxillary sinusitis increases with age. Osseous changes suggestive of maxillary sinusitis of respiratory origin are at a maximum prevalence in juveniles and adolescents. In adults, infection of dental origin becomes a confounding factor in the identification of sinusitis of respiratory origin. Fifteenth century Iroquoians were experiencing high airborne pathogen levels and poor indoor air quality. The prevalence of maxillary sinusitis and the exploration of the origin of tissue injury may contribute to our reconstruction of the quality of life and the respiratory health status of past human populations.

Confounding · Environmental health · Maxilla · Pathology · Population · Respiratory system · Sinusitis · Dentistry · Internal Medicine · Medicine · Osteomyelitis and Bone Disorders Research · Otolaryngology and Infectious Diseases · Sinusitis and nasal conditions · Surgery

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Unique citing works34
Citations per year1,42
Citation span2002 - 2025 (24)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 16

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