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Maxillary sinusitis in Medieval Chichester, England

Boocock, P.; Roberts, C.; Manchester, K.

Authors

P. Boocock

K. 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 problems with diagnosing sinusitis are addressed and reasons behind the high frequency in this study are discussed. Aetiological factors predisposing to maxillary sinusitis are considered with reference to possible environmental conditions prevailing in the later Medieval period in Britain.

Citation

Boocock, P., Roberts, C., & Manchester, K. (1995). Maxillary sinusitis in Medieval Chichester, England. American journal of physical anthropology, 98(4), 483-495. https://doi.org/10.1002/ajpa.1330980408

Journal Article Type Article
Publication Date Jan 1, 1995
Deposit Date Aug 23, 2010
Journal American Journal of Physical Anthropology
Print ISSN 0002-9483
Electronic ISSN 1096-8644
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 98
Issue 4
Pages 483-495
DOI https://doi.org/10.1002/ajpa.1330980408
Keywords Sinusitis, Aetiology, Classification, Endoscope, Leprosy.