中世纪丹麦骨骼材料中的慢性中耳炎后遗症
Chronic otitis media sequelae in skeletal material from medieval Denmark.
作者信息
Qvist M, Grøntved A M
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, Odense University Hospital, Denmark.
出版信息
Laryngoscope. 2001 Jan;111(1):114-8. doi: 10.1097/00005537-200101000-00020.
OBJECTIVES
Chronic otitis media sequelae (COMS) have been identified in archaeological skeletal materials from various ages. COMS reflecting episodes of upper respiratory tract infection may be used as a paleopathological indicator of general health. Estimation of the frequency of COMS may be useful in the gross evaluation of general standard of living.
MATERIALS AND METHODS
Temporal bones and auditory ossicles from 659 individuals from two Danish medieval rural parish cemeteries, dated to 1050-1200 and 1150-1350, respectively, were examined otomicroscopically.
RESULTS
Osseous fistulae from mastoid abscesses, remodelling of the hypotympanon, and erosion of the incus were among the convincing indications of COMS. A minimum frequency of COMS of 1% to 7% was found. The youngest material displayed the highest frequency of pathological changes.
CONCLUSION
Indications of a rising incidence of infectious middle ear disease in early medieval Denmark were found. This may reflect a deterioration of living conditions from the 11th through the 14th centuries.
目的
在不同年代的考古骨骼材料中已发现慢性中耳炎后遗症（COMS）。反映上呼吸道感染发作情况的COMS可作为总体健康状况的古病理学指标。估计COMS的发生率可能有助于对总体生活水平进行粗略评估。
材料与方法
对分别来自两个丹麦中世纪乡村教区墓地的659具个体的颞骨和听小骨进行了耳显微镜检查，这两个墓地的年代分别为1050 - 1200年和1150 - 1350年。
结果
乳突脓肿形成的骨瘘、下鼓室重塑以及砧骨侵蚀是COMS的确凿指征。发现COMS的最低发生率为1%至7%。最年轻的材料显示出最高的病理变化发生率。
结论
发现了中世纪早期丹麦感染性中耳疾病发病率上升的迹象。这可能反映了从11世纪到14世纪生活条件的恶化。
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