1. Disability in a medieval village community: A unique case of facial dysmorphism
- Author
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Hélène Coqueugniot, Elisabeth Zadora-Rio, Boris Laure, Estelle Herrscher, Samuel Bédécarrats, Valentin Miclon, Matthieu Gaultier, Cités, Territoires, Environnement et Sociétés (CITERES), Université de Tours (UT)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Régional Universitaire de Tours (CHRU Tours), Service de l'archéologie du département d'Indre-et-Loire (SADIL), De la Préhistoire à l'Actuel : Culture, Environnement et Anthropologie (PACEA), Université de Bordeaux (UB)-Centre National de la Recherche Scientifique (CNRS), Laboratoire méditerranéen de préhistoire Europe-Afrique (LAMPEA), Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS)-Ministère de la Culture (MC), This work was funded by UMR CITERES 7324 – LAT., Centre National de la Recherche Scientifique (CNRS)-Université de Tours (UT), Centre National de la Recherche Scientifique (CNRS)-Université de Bordeaux (UB), École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL), École Pratique des Hautes Études (EPHE), Miclon, Valentin, Centre National de la Recherche Scientifique (CNRS)-Université de Tours, and Centre Hospitalier Régional Universitaire de Tours (CHRU TOURS)
- Subjects
Archeology ,medicine.medical_specialty ,[SHS.ARCHEO]Humanities and Social Sciences/Archaeology and Prehistory ,Paleopathology ,[SHS.ANTHRO-BIO]Humanities and Social Sciences/Biological anthropology ,Population ,Disease ,Deafness ,Care ,Pathology and Forensic Medicine ,Social life ,03 medical and health sciences ,Facial dysmorphism ,Treacher-Collins syndrome ,Isotopes ,medicine ,Humans ,0601 history and archaeology ,education ,030304 developmental biology ,0303 health sciences ,education.field_of_study ,[SHS.ARCHEO] Humanities and Social Sciences/Archaeology and Prehistory ,060101 anthropology ,Bone collagen ,Nitrogen Isotopes ,Osteology ,CT-scan ,06 humanities and the arts ,Semiology ,medicine.disease ,Diet ,[SHS.ANTHRO-BIO] Humanities and Social Sciences/Biological anthropology ,Archaeology ,[SHS.HIST] Humanities and Social Sciences/History ,Female ,[SHS.HIST]Humanities and Social Sciences/History ,Psychology ,Treacher Collins syndrome ,Mandibulofacial Dysostosis ,Clinical psychology - Abstract
International audience; Archaeological excavations carried out in the 1990s in the former rural parish of Rigny (Indre-et-Loire, France) uncovered 1738 graves. Among the individuals discovered, a female adult presents a series of cranial deformities characteristic of an extremely rare pathology, til then unknown in the archaeological record: the Treacher-Collins syndrome. It induces facial dysmorphism and is generally associated with hearing loss or even conductive deafness of the patient due to malformations of the hearing system.The retrospectif diagnosis of this individual was based on macroscopic analysis and computed tomography (CTscan). The use of 3D imaging made it possible to explore the impact of the pathology on the individual's hearing.In addition to the functional implications, the negative impacts of facial dysmorphic disorders in the social sphere are well known in today's societies while they are poorly documented for the medieval period.During this period, diet was an important social marker. The analysis of the individual affected by this syndrome’s diet, compared to those of other members of the Rigny village community, provide an opportunity to discuss the social significance of disability in a rural context in the Middle Ages. In this perspective, the isotopic ratios of carbon and nitrogen in this individual's bone collagen were compared to those of forty-seven other individuals found on the site.Archaeological, paleopathological and biochemical information are relevant to better characterize the functional repercussions of this syndrome on the Rigny individual and also to discuss the integration of this individual into this medieval village community.
- Published
- 2021
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