Facial approximation in archaeological contexts represents a complex intersection of science, art, and ethics. While these reconstructions offer a unique opportunity to engage the public with the past, they also raise critical concerns regarding accuracy, representation, and the dignity of the deceased. This literature review examines the ethical discourse surrounding facial approximations in museums, emphasizing the need for transparency in their creation and presentation. By integrating anthropology, ethics, and museum studies, we highlight both the potential and the limitations of these estimations. A balanced approach—one that acknowledges interpretative subjectivity while fostering public engagement—can enhance the ethical and scientific integrity of facial approximation practices in archaeological field.

Imagining life before the advent of modern medical treatments is challenging. Today, congenital dysplasia is typically diagnosed within the first months of a child’s life, allowing for timely intervention. In the past, however, this condition often went unrecognized and untreated, as evidenced by archaeological findings that document the presence of congenital dysplasia persisting into adulthood. We present the case of the individual recovered from the hypogeal cemetery of Santa Maria Maggiore in Vercelli, Italy, a funerary context dated from the 18th to the 19th century. Using macroscopic and radiographic analyses, various morphological irregularities were identified, consistent with the characteristics of developmental hip dysplasia. The skeletal remains identified as FU12 SU151 include a right os coxa and femur, belonging to an adult female. The femur features a 90-degree femoral head angle and a shortened neck with nodules. The acetabulum shows significant morphological changes, including a triangular shape and absence of lunate surfaces, deviating from the normal structure for femoral articulation. CT scans revealed a void within the acetabulum, indicating an absence of material. Despite preservation challenges that restrict the identification of definitive signs, our findings offer valuable insights into possible developmental dysplasia in historic skeletal remains. This research provides insights into the impact of untreated congenital conditions on past populations, underscoring the importance of preserving and studying such remains to enhance our understanding of historical health issues.

Craniotomies have played a significant role in both historical and contemporary post-mortem practices, including autopsy, anatomical dissection, embalming and surgical training. The differentiation of these procedures in osteoarchaeological contexts remains a complex challenge due to the overlap in techniques and the varying conditions of skeletal remains. This review presents studies analyzing craniotomies on osteological material, focusing on cut mark morphology, tool mark characteristics and contextual evidence to distinguish post-mortem interventions. The findings highlight the advancements in forensic methodologies applied to archaeological remains, emphasizing the integration of historical records and modern analytical techniques. Future research should aim to incorporate experimental archaeology and interdisciplinary approaches to enhance interpretations of past medical procedures.

Cranial anatomical variations, such as biparietal thinning, offer critical insights into the health and living conditions of ancient populations. Despite the presence of extensive archaeological records, biparietal thinning remains a relatively rare and understudied condition. This review aims to synthesize existing bioarchaeological literature on biparietal thinning, addressing its historical prevalence, geographical distribution, and potential etiologies. This study integrates data from previous bioarchaeological research supplemented with a new case from skeletal remains excavated at the hypogeal cemetery of Santa Maria Maggiore in Vercelli, Northern Italy. The analysis included macroscopic examination, radiological imaging, and comparative analysis with clinical and paleopathological cases to identify and assess the characteristic features of biparietal thinning. Our analysis of the skeletal remains of an old adult female individual revealed clear indicators of biparietal thinning. Notably, the thinning was bilateral, with the absence of diploe in the affected areas while maintaining the inner and outer tables of the cranial vault. These findings align with documented cases in the literature and contribute new data to the limited corpus of biparietal thinning cases. This study underscores the importance of integrating paleopathological findings with modern medical knowledge to enhance the understanding of ancient diseases. The case from Vercelli provides an opportunity to explore the multifactorial origins of biparietal thinning and highlights the necessity of a multidisciplinary approach, combining archaeological, anthropological, and medical perspectives. By presenting this new case, we aim to stimulate further research into biparietal thinning and similar cranial pathologies, enriching the broader narrative of human health evolution.