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. 2017 Jun 28;3(6):e1700564. doi: 10.1126/sciadv.1700564

Table 1. Cases of human bone modification (from archaeological and ethnographic literature).

Period Site Artifacts Bone element Intention/interpretation References
Upper Paleolithic Gough’s Cave,
England
Cup Cranium Skull-cup production in
combination with cannibalism
(47)
Le Placard Cave, France Cup Cranium Skull-cup production (48, 49)
Isturitz, France Cup Cranium Skull-cup production (50)
Mesolithic-Neolithic Lepenski Vir, Serbia Notation system Long bone Marking or counting
a series of events
(51)
Neolithic Heilbronn-Klingenberg,
Germany
Sharpening
of diaphysis
Long bone Profane tool (paddle) for
smoothing surfaces in clay
vessel production
(4)
Herxheim, Germany Cup Cranium Skull-cup production (52)
Europe Rondelles Cranium Amulet with magical or ritual function (4, 53)
Bronze Age Europe Rondelles Cranium Amulet with magical or ritual function (53)
El Mirador Cave,
Spain
Cup Cranium Skull-cup production in combination
with cannibalism
(54)
Middle Ages Tübingen, Germany Flute Long bone Make music (55)
Buddhist contexts India and Tibet Bowls and drums Skull Paraphernalia for religious ceremonies (56)
Recent
(20th century)
Dayak people,
Borneo
Carved ornaments in
skulls, attachment
of objects with cord
Skull Head-hunting as prestige (57)
Naga people,
India, and Myanmar
Attached horns evoke
hybrid-like appearance
Skull Skulls as human trophies (31)