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An unusual exostotic lesion of the maxillary sinus from Roman Lincoln

Kendall, R.; Kendall, E.; Macleod, I.; Gowland, R.L.; Beaumont, J.

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Authors

I. Macleod

J. Beaumont



Abstract

This report provides a differential diagnosis of an exostotic bony lesion within the left maxillary sinus of a Romano-British (3rd to 4th century AD) adult male from Newport, Lincoln. Macroscopic, radiographic, and cone beam computed tomography (CBCT) analyses suggest that the lesion is likely of odontogenic origin. The overall size of the lesion and areas of sclerosis and radiolucency, together with its hypothesised odontogenic origin, suggest that the lesion represents a chronic exostotic osteomyelitic reaction to the presence of odontogenic bacteria. While modern case studies of odontogenic maxillary sinus osteomyelitis are noteworthy, published cases of this condition are extremely rare in an archaeological context and may be underreported due to the enclosed nature of the sinuses. Such infections may have serious implications for individual and population health, and non-destructive investigation should be considered in cases where significant maxillary caries are present.

Citation

Kendall, R., Kendall, E., Macleod, I., Gowland, R., & Beaumont, J. (2015). An unusual exostotic lesion of the maxillary sinus from Roman Lincoln. International Journal of Paleopathology, 11, 45-50. https://doi.org/10.1016/j.ijpp.2015.09.001

Journal Article Type Article
Acceptance Date Sep 1, 2015
Online Publication Date Sep 20, 2015
Publication Date Dec 1, 2015
Deposit Date Mar 14, 2016
Publicly Available Date Sep 20, 2016
Journal International Journal of Paleopathology
Print ISSN 1879-9817
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 11
Pages 45-50
DOI https://doi.org/10.1016/j.ijpp.2015.09.001

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