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Evidence of otitis media and mastoiditis in a Medieval Islamic skeleton from Spain and possible implications for ancient surgical treatment of the condition.

Abstract：

OBJECTIVE:To evaluate lesions on a cranium from the Iberian Peninsula and assess its medico-historical and paleopathological significance. MATERIALS:The skeletal remains of a juvenile individual found in a Medieval Islamic grave (10th -16th century) in Eastern Spain. METHODS:Macroscopic examination of the left and right temporal bones, binocular microscopy, X-ray, and Scanning Electron Microscopy - Energy Dispersive X-ray Spectroscopy (SEM-EDS) were performed. RESULTS:A sub-oval perforation superior to the right mastoid process and pathological changes on the right temporal bone were identified. SEM-EDS confirmed the presence of copper in the surrounding area of the perforation. CONCLUSIONS:The observed pathological changes are most likely compatible with otitis media and subsequent mastoiditis. The sub-oval perforation could be interpreted either as an abscess or as evidence of a surgical procedure (mastoidectomy) or a combination of both; and the Cu traces may be the result of an associated object or, possibly, the application of a plaster with copper acetate used as medical treatment. SIGNIFICANCE:This case contributes to the paleopathological record and the interpretation of similar cases, and also helps in the understanding of medical care and treatment in Medieval Islam. LIMITATIONS:The lack of similar pre-modern cases of surgical intervention limits comparability to clinical cases. Suggestion for further research: Exploration into indicators of health care in past populations.

journal_name

Int J Paleopathol

journal_title

International journal of paleopathology

authors

Olivé-Busom J,López-Costas O,Quer-Agustí M,Márquez-Grant N,Kirchner H

doi

10.1016/j.ijpp.2020.10.009

subject

Has Abstract

pub_date

2020-11-21 00:00:00

pages

17-22

eissn

1879-9817

issn

1879-9825

pii

S1879-9817(20)30055-3

journal_volume

32

pub_type

杂志文章

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