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The Use of Computed Tomography for the Study of Chronic Maxillary Sinusitis: Based on Crania from the Pucará De Tilcara Fortress, Argentina

https://doi.org/10.17746/1563-0110.2020.48.3.143-153

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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 Pucará 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.

About the Authors

A. V. Zubova
Peter the Great Museum of Anthropology and Ethnography (Kunstkamera), Russian Academy of Sciences
Russian Federation

Senior Researcher

Universitetskaya nab. 3, St. Petersburg, 199034



N. I. Ananyeva
Bekhterev National Medical Research Center of Psychiatry and Neurology; Saint Petersburg State University
Russian Federation

Chief Researcher, Department Head, Bekhterev National Medical Research Center of Psychiatry and Neurology; Professor, Saint Petersburg State University

Bekhtereva 3, St. Petersburg, 192019, 

Universitetskaya nab. 7–9, St. Petersburg, 199034



V. G. Moiseyev
Peter the Great Museum of Anthropology and Ethnography (Kunstkamera), Russian Academy of Sciences
Russian Federation

Senior Researcher

Universitetskaya nab. 3, St. Petersburg, 199034



I. K. Stulov
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Radiotherapist

Bekhtereva 3, St. Petersburg, 192019



L. M. Dmitrenko
Peter the Great Museum of Anthropology and Ethnography (Kunstkamera), Russian Academy of Sciences
Russian Federation

Junior Researcher

Universitetskaya nab. 3, St. Petersburg, 199034



A. V. Obodovskiy
St. Petersburg Electrotechnical University “LETI”
Russian Federation

Teaching Assistant

Professora Popova 5, St. Petersburg, 197022



N. N. Potrakhov
St. Petersburg Electrotechnical University “LETI”
Russian Federation

Professor, Department Chair

Professora Popova 5, St. Petersburg, 197022



A. M. Kulkov
Saint Petersburg State University
Russian Federation

Engineer

Universitetskaya nab. 7–9, St. Petersburg, 199034



E. V. Andreev
Bekhterev National Medical Research Center of Psychiatry and Neurology
Russian Federation

Junior Researcher

Bekhtereva 3, St. Petersburg, 192019



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For citation:


Zubova A.V., Ananyeva N.I., Moiseyev V.G., Stulov I.K., Dmitrenko L.M., Obodovskiy A.V., Potrakhov N.N., Kulkov A.M., Andreev E.V. The Use of Computed Tomography for the Study of Chronic Maxillary Sinusitis: Based on Crania from the Pucará De Tilcara Fortress, Argentina. Archaeology, Ethnology & Anthropology of Eurasia. 2020;48(3):143-153. https://doi.org/10.17746/1563-0110.2020.48.3.143-153

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