Maxillary sinusitis in Medieval Chichester, England

American Journal of Physical Anthropology
P A BoocockK Manchester

Abstract

Maxillary sinusitis is a common medical complaint, affecting more than 30 million people per year in the United States alone. Very little palaeopathological work on this disease has been carried out, probably because of the enclosed nature of the sinuses in intact skulls and the lack of a suitable method for examination. This study tested the hypothesis that maxillary sinusitis was more common in people with leprosy than in people without it in Medieval England. The prevalence of maxillary sinusitis by age and sex was recorded in 133 individuals, some diagnosed as being leprous, derived from a later Medieval (12th to 17th centuries AD) urban hospital population at Chichester, Sussex, England using both macroscopic and endoscopic methods of examination. Of the 133 individuals with one or both sinuses available for examination, 54.9% (73) had evidence of bone change within the sinuses. There was no difference in prevalence between those with leprosy and those without, although clinical studies suggest that over 50% of lepromatous leprous individuals may develop sinusitis. Comparison with another study on Medieval British sites with a 3.6% prevalence (3 of 83) indicates that the prevalence at Chichester is much greater. The proble...Continue Reading

References

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Citations

Feb 24, 2000·American Journal of Physical Anthropology·D C Merrett, S Pfeiffer
Apr 13, 2007·American Journal of Physical Anthropology·Charlotte A Roberts
May 9, 2012·American Journal of Physical Anthropology·Simon Mays
Dec 6, 2020·The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology·Melanie M Beasley, Clare K Remy
Feb 24, 2021·American Journal of Physical Anthropology·Tracy K Betsinger, Sharon N DeWitte
Dec 1, 2015·International Journal of Paleopathology·Ross KendallJulia Beaumont

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