Ear disease and hearing loss, Pierre, South Dakota, 1962-1982.
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Biomedical subjects
Publications and source records attributed to J B Gregg.
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The effect of otitis media on the human mastoid process in a common milieu over a millennium was evaluated by comparing two present and four ancient populations. Temporal bone pneumatization patterns indicate that otitis media and mastoiditis existed in antiquity, and there were more altered pneumatization patterns in skulls from the era following European contact than from eras before European contact. Pneumatization patterns were similar in ancient skulls and in a preponderantly white male population mostly born before antibacterial availability. Both ancient and modern pre-antibacterial era temporal bones show more effect of otitis media during childhood than is found in present day schoolchildren. Reasons for differences are explored. It is inferred that upper respiratory tract infections were prevalent in the Upper Missouri River Basin during the past millennium. Furthermore, microbiological agents with virulence similar to today's flora were prevalent in this region more than 1,000 years ago.
Unusual osteolytic defects in eight skulls culled from over 4000 ancient South Dakota burials are presented, discussed briefly, and assigned to what we think is their most likely cause. Because these are collection skeletons, histological and microbiological and microbiological confirmation of interpretations concerning specific lesions are not possible. Corroboration of our opinions has been sought through radiographs and by expert consultation elsewhere. Although our opinions are interpretative and subject to rebuttal, they can serve as a base for future research if and when similar specimens are discovered elsewhere. In addition, these specimens are indicators of other than usual ancient skull pathology from a limited geographic area, representing people who lived there during a known time frame.
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Congenital facial clefting occurs more often in Native Americans from the Upper Missouri River Basin (UMRB) than it does in the general population. However, no facial clefts were seen in 3,750 ancient UMRB skeletons. Very few reports concerning defective palate crania are in the literature of paleopathology. Findings regarding craniofacial anomalies in today's native Americans in the UMRB are presented briefly and compared to those in skeletons from this region. There is a marked difference between the frequency of anomalies which occurred in the past and those which are present today. Although the people sampled here were from many cultures and lived during different time periods, encompassing over a millenium, the fundamental denominator was a common geographic location. Reasons for the differences between the past and the present are advanced. It may be possible to estimate the frequency of anomalies which have not been found in archeological specimens but which are present today. By comparing data concerning "occult" congenital anomalies of the past with those of the present, the actual prevalence of past cranio-facial anomalies may be estimated through careful extrapolation.
Fibrous dysplasia, characterized by benign osteolytic and osteoblastic lesions may involve one or several bones. Recent investigators have suggested that it may be merely a phase of what have previously been thought to be several different bone diseases. Isolated fibrous dysplasia in the temporal bone is infrequent. Several reports of this disease have appeared in the literature of paleopathology, but none involved only the temporal bone. Monostotic involvement of the right temporal bone was discovered in the skull of an adult male recovered from an archeological site dating from the Late Mississippian period (A.D. 1,350-A.D. 1,650). It will provide an opportunity for preliminary documentation of the antiquity of this disease in the southeastern portion of the United States.
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Fixation of the footplate of the stapes by otosclerosis had been found in the left ear of a probable Spaniard who died about 200 years ago and was buried in the Tuscon Presidio. Previous studies on North and South Dakota American Indian crania of about the same time period did not demonstrate any stapedial fixation in 2,600 burials (4,064 temporal bones), 1,416 of which were over 16 years of age at death. The Tucson burial would indicate that this abnormality can be demonstrated in old interred skeletal material. Our other studies suggest that this disease process was not common in the prehistoric and historic Indian populations of the Dakotas.
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