Evgeny V. Pererva

Introduction. The paper defines pathological conditions arguably developed as the result of the cranium deforming practices.

Material and methods. One hundred and fifty-eight brain capsules dating back to the Middle Bronze Age were studied; 42 showed traces of artificial deformation. Comparison of the series of normal and deformed skulls was carried out on the basis of 21 signs identified. The author compared frequencies of pathological conditions between the deformed and non-deformed skulls using nonparametric Mann-Whitney and Pearson's Chi-square (χ2) tests. Thus, differences in the occurrence of traits in the two independent samples was assessed. Additionally, we tested the association between 14 features using Spearman's correlation coefficient (r-Spearman's).

Results. As a result of the comparative analysis, it was possible to establish statistically significant differences in the series of adult individuals between the non-deformed and deformed skulls in three following categories: hyperostosis frontalis interna, external exostosis of the auditory canal and injuries of the cranial vault. The identified pathological conditions are prevalent on the skulls artificially deformed skulls. No significant differences were identified between the compared groups of children and adolescents.

Conclusion. The absence of significant differences for most of the pathological conditions, such as the state of the dentition, growth processes, the development of intracranial hypertension, inflammatory processes and mechanisms that cause metabolic disorders, indicates that artificial deformation does not have a significant effect on the development of the pathology of this character. On the contrary, hyperostosis frontalis interna is a pathological condition that may have been stimulated by the impact of artificial deformation. The high incidence of external exostoses of the auditory canal and injuries on the deformed skulls are most likely markers of the social or ethnic affiliation of the population that practiced this custom.

It should be stated that, intentional artificial deformation of the cranium is quite compatible with a normal health state and human activity. © 2023. This work is licensed under a CC BY 4.0 license.