Artificial cranial deformation

Artificial cranial deformation or modification, head flattening, or head binding is a form of body alteration in which the skull of a human being is deformed intentionally. It is done by distorting the normal growth of a child's skull by applying force. Flat shapes, elongated ones (produced by binding between two pieces of wood), rounded ones (binding in cloth), and conical ones are among those chosen or valued in various cultures. Typically, the shape alteration is carried out on an infant, as the skull is most pliable at this time. In a typical case, headbinding begins approximately a month after birth and continues for about six months.

Artificial cranial deformation
Left: Portrait of Yuezhi prince from Khalchayan, c. 1st century CE.
Right: Elongated skull excavated in Samarkand (dated 600–800 CE), Afrasiab Museum of Samarkand


Portrait of Alchon Hun king Khingila, from his coinage, c. 450 CE.

Intentional cranial deformation predates written history; it was practiced commonly in a number of cultures that are widely separated geographically and chronologically, and still occurs today in a few areas, including Vanuatu.[citation needed]

The earliest suggested examples were once thought to include Neanderthals and the Proto-Neolithic Homo sapiens component (9th millennium BCE) from Shanidar Cave in Iraq,[1][2][3] The view that the Neanderthal skull was artificially deformed, thus representing the oldest example of such practices by tens of thousands of years, was common for a period. However, later research by Chech, Grove, Thorne, and Trinkaus, based on new cranial reconstructions in 1999, questioned the earlier findings and concluded: "we no longer consider that artificial cranial deformation can be inferred for the specimen".[4] It is thought elongated skulls found among Neolithic peoples in Southwest Asia were the result of artificial cranial deformation.[1][5]

The earliest written record of cranial deformation comes from Hippocrates in about 400 BCE. He described a group known as the Macrocephali or Long-heads, who were named for their practice of cranial modification.[6]

Central AsiaEdit

In the Old World, Huns also are known to have practised similar cranial deformation,[7] as were the people known as the Alans.[8] In Late Antiquity (300–600 CE), the East Germanic tribes who were ruled by the Huns, the Gepids, Ostrogoths, Heruli, Rugii, and Burgundians adopted this custom. Among the Lombards, the Burgundians and the Thuringians,[9] this custom seems to have comprised women only.[10] In western Germanic tribes, artificial skull deformations rarely have been found.[11]

The practice of cranial deformation was brought to Bactria and Sogdiana by the Yuezhi, a tribe that created the Kushan Empire. Men with such skulls are depicted in various surviving sculptures and friezes of that time, such as the Kushan prince of Khalchayan.[12]

Legendary Iranian king Rostam, depicted in this 7th century AD mural at Panjikent, Sogdia, with an elongated skull in the fashion of the Alchon Huns.[13][14][15]

Alchon kings are generally recognized by their elongated skull, a result of artificial skull deformation.[16] Archaeologist Cameron Petrie wrote that "The depictions of elongated heads suggest that the Alchon kings engaged in skull modification, which was also practised by the Hun groups that appeared in Europe". The elongated skulls appears clearly in most of the portraits of rulers in the coinage of the Alkhon Huns, and most visibly on the coinage of Khingila.[16] These elongated skulls, which they obviously displayed with pride, distinguished them from other peoples, such as their predecessors the Kidarites.[16] On their coins, the spectacular skulls came to replace the Sasanian-type crowns which had been current in the coinage of the region.[16] This practice is also known among other peoples of the steppes, particularly the Huns, and as far as Europe, where it was introduced by the Huns themselves.[16][17]


In the Americas, the Maya,[18][19][20] Inca, and certain tribes of North American natives performed the custom. In North America the practice was known, especially among the Chinookan tribes of the Northwest and the Choctaw of the Southeast. The Native American group known as the Flathead Indians, in fact, did not practise head flattening, but were named as such in contrast to other Salishan people who used skull modification to make the head appear rounder.[citation needed] Other tribes, including both Southeastern tribes like the Choctaw[21][22] and Northwestern tribes like the Chehalis and Nooksack Indians, practiced head flattening by strapping the infant's head to a cradleboard.[citation needed]

The practice of cranial deformation was also practiced by the Lucayan people of the Bahamas and the Taínos of the Caribbean.[23]


The Visayans and the Bikolano people of the central islands of the Philippines practiced flattening the foreheads (and sometimes the back of the heads) widely in the pre-colonial period, particularly in the islands of Samar and Tablas. Other regions where remains with artificial cranial deformations have been found include Albay, Butuan, Marinduque, Cebu, Bohol, Surigao, and Davao.[24] The pre-colonial standard of beauty among these groups were of broad faces and receding foreheads, with the ideal skull dimensions being of equal length and width. The devices used to achieve this include a comb-like set of thin rods known as tangad, plates or tablets called sipit, or padded boards called saop. These were bound to a baby's forehead with bandages and fastened at the back.[25]

They were first recorded in 1604 by the Spanish priest Diego Bobadilla. He reported that in the central Philippines, people placed the heads of children between two boards to horizontally flatten their skulls towards the back, and that they viewed this as a mark of beauty. Other historic sources confirmed the practice, further identifying it as also being a practice done by the nobility (tumao) as a mark of social status, although whether it was restricted to nobility is still unclear.[24]

People with the flattened foreheads were known as tinangad. People with unmodified crania were known as ondo, which literally means "packed tightly" or "overstuffed", reflecting the social attitudes towards unshaped skulls (similar to the binatakan and puraw distinctions in Visayan tattooing). People with flattened backs of the head were known as puyak, but it is unknown whether puyak were intentional.[25]

Other body modification practices associated with Philippine artificial cranial deformation include blackened and filed teeth, extensive tattooing (batok, which was also a mark of status and beauty), genital piercings, circumcision, and ear plugs. Similar practices have also been documented among the Melanau of Sarawak, the Minahasans of Sulawesi, and some non-Islamized groups in Sumatra.[25]

Friedrich Ratzel reported in 1896 that deformation of the skull, both by flattening it behind and elongating it toward the vertex, was found in isolated instances in Tahiti, Samoa, Hawaii, and the Paumotu group, and that it occurred most frequently on Mallicollo in the New Hebrides (today Malakula, Vanuatu), where the skull was squeezed extraordinarily flat.[26]


In Africa, the Mangbetu stood out to European explorers because of their elongated heads. Traditionally, babies' heads were wrapped tightly with cloth, called "Limpombo", in order to give them this distinctive appearance. The practice began dying out in the 1950s.[citation needed]


Deliberate deformity of the skull, "Toulouse deformity", France. The band visible in the photograph is used to induce the shape change.

The custom of binding babies' heads in Europe in the twentieth century, though dying out at the time, was still extant in France, and also found in pockets in western Russia, the Caucasus, and in Scandinavia.[27]: 46  The reasons for the shaping of the head varied over time, from aesthetic to pseudoscientific ideas about the brain's ability to hold certain types of thought depending on its shape.[27]: 51  In the region of Toulouse (France), these cranial deformations persisted sporadically up until the early twentieth century;[28][29] however, rather than being intentionally produced as with some earlier European cultures, Toulousian Deformation seemed to have been the unwanted result of an ancient medical practice among the French peasantry known as bandeau, in which a baby's head was tightly wrapped and padded in order to protect it from impact and accident shortly after birth. In fact, many of the early modern observers of the deformation were recorded as pitying these peasant children, whom they believed to have been lowered in intelligence due to the persistence of old European customs.[27]

Methods and typesEdit

Deformation usually begins just after birth for the next couple of years until the desired shape has been reached or the child rejects the apparatus.[27][page needed][30][31]

There is no broadly established classification system of cranial deformations, and many scientists have developed their own classification systems without agreeing on a single system for all forms observed.[32] An example of an individual system is that of E. V. Zhirov, who described three main types of artificial cranial deformation—round, fronto-occipital, and sagittal—for occurrences in Europe and Asia, in the 1940s.[33]: 82 

Motivations and theoriesEdit

One modern theory is cranial deformation was likely performed to signify group affiliation,[32][34][35] or to demonstrate social status. Such motivations may have played a key role in Maya society,[34] aimed at creating a skull shape that is aesthetically more pleasing or associated with desirable cultural attributes. For example, in the Na'ahai-speaking area of Tomman Island and the south south-western Malakulan (Australasia), a person with an elongated head is thought to be more intelligent, of higher status, and closer to the world of the spirits.[36]

Historically, there have been a number of various theories regarding the motivations for these practices.

Lithographs of skulls by J. Basire

It has also been considered possible that the practice of cranial deformation originates from an attempt to emulate those groups of the population in which elongated head shape was a natural condition. The skulls of some Ancient Egyptians are among those identified as often being elongated naturally and macrocephaly may be a familial characteristic. For example, Rivero and Tschudi describe a mummy containing a fetus with an elongated skull, describing it thus:

the same formation [i.e. absence of the signs of artificial pressure] of the head presents itself in children yet unborn; and of this truth we have had convincing proof in the sight of a foetus, enclosed in the womb of a mummy of a pregnant woman, which we found in a cave of Huichay, two leagues from Tarma, and which is, at this moment, in our collection. Professor D'Outrepont, of great Celebrity in the department of obstetrics, has assured us that the foetus is one of seven months' age. It belongs, according to a very clearly defined formation of the cranium, to the tribe of the Huancas. We present the reader with a drawing of this conclusive and interesting proof in opposition to the advocates of mechanical action as the sole and exclusive cause of the phrenological form of the Peruvian race.[37]

P. F. Bellamy makes a similar observation about the two elongated skulls of infants, which were discovered and brought to England by a "Captain Blankley" and handed over to the Museum of the Devon and Cornwall Natural History Society in 1838. According to Bellamy, these skulls belonged to two infants, female and male, "one of which was not more than a few months old, and the other could not be much more than one year."[38] He writes,

It will be manifest from the general contour of these skulls that they are allied to those in the Museum of the College of Surgeons in London, denominated Titicacans. Those adult skulls are very generally considered to be distorted by the effects of pressure; but in opposition to this opinion Dr. Graves has stated that "a careful examination of them has convinced him that their peculiar shape cannot be owing to artificial pressure;" and to corroborate this view, we may remark that the peculiarities are as great in the child as in the adult, and indeed more in the younger than in the elder of the two specimens now produced: and the position is considerably strengthened by the great relative length of the large bones of the cranium; by the direction of the plane of the occipital bone, which is not forced upwards, but occupies a place in the under part of the skull; by the further absence of marks of pressure, there being no elevation of the vertex nor projection of either side; and by the fact of there being no instrument nor mechanical contrivance suited to produce such an alteration of form (as these skulls present) found in connexion with them.[39]

Health effectsEdit

There is no statistically significant difference in cranial capacity between artificially deformed skulls and normal skulls in Peruvian samples.[40]

See alsoEdit


  1. ^ a b Meiklejohn, Christopher; Anagnostis Agelarakis; Peter A. Akkermans; Philip E.L. Smith & Ralph Solecki (1992) "Artificial cranial deformation in the Proto-Neolithic and Neolithic Near East and its possible origin: evidence from four sites," Paléorient 18(2), pp. 83-97, see [1], accessed 1 August 2015.
  2. ^ Trinkaus, Erik (April 1982). "Artificial Cranial Deformation in the in Shanidar 1 and 5 Neandertals". Current Anthropology. 23 (2): 198–199. doi:10.1086/202808. JSTOR 2742361. S2CID 144182791.
  3. ^ Agelarakis, A. (1993). "The Shanidar Cave Proto-Neolithic Human Population: Aspects of Demography and Paleopathology". Human Evolution. 8 (4): 235–253. doi:10.1007/bf02438114. S2CID 85239949.
  4. ^ Chech, Mario; Groves, Colin P.; Thorne, Alan; Trinkaus, Erik (1999). "A New Reconstruction of the Shanidar 5 Cranium". Paléorient. 25 (2): 143–146. doi:10.3406/paleo.1999.4692. JSTOR 41496548.
  5. ^ K.O. Lorentz (2010) "Ubaid head shaping," in Beyond the Ubaid (R.A. Carter & G. Philip, Eds.), pp. 125-148.[full citation needed]
  6. ^ Hippocrates of Cos (1923) [ca. 400 BCE] Airs, Waters, and Places, Part 14, e.g., Loeb Classic Library Vol. 147, pp. 110–111 (W. H. S. Jones, transl., DOI: 10.4159/DLCL.hippocrates_cos-airs_waters_places.1923, see [2]. Alternatively, the Adams 1849 and subsequent English editions (e.g., 1891), The Genuine Works of Hippocrates (Francis Adams, transl.), New York, NY, USA: William Wood, at the [MIT] Internet Classics Archive (Daniel C. Stevenson, compiler), see [3]. Alternatively, the Clifton 1752 English editions, "Hippocrates Upon Air, Water, and Situation; Upon Epidemical Diseases; and Upon Prognosticks, In Acute Cases especially. To which is added…" Second edition, pp. 22-23 (Francis Clifton, transl.), London, GBR: John Whiston and Benj. White; and Lockyer Davis, see [4]. All web versions accessed 1 August 2015.
  7. ^ Facial reconstruction of a Hunnish woman, Das Historische Museum der Pfalz, Speyer
  8. ^ Bachrach, Bernard S. (1973) A History of the Alans in the West: From Their First Appearance in the Sources of Classical Antiquity Through the Early Middle Ages, pp. 67-69, Minneapolis, MN, USA: University of Minnesota Press.
  9. ^ Herbert Schutz, The Germanic Realms in Pre-Carolingian Central Europe, 400-750, P. Lang, 2000, p. 62.
  10. ^ Tore Ahlbäck, The Problem of Ritual, Donner Institute, 1993, p. 279.
  11. ^ Pany, Doris & Karin Wiltschke-Schrotta, "Artificial cranial deformation in a migration period burial of Schwarzenbach, Lower Austria," ViaVIAS, no. 2, pp. 18-23, Vienna, AUT: Vienna Institute for Archaeological Science.
  12. ^ Lebedynsky, Iaroslav (2006). Les Saces. Paris: Editions Errance. ISBN 978-2-87772-337-4., p. 15
  13. ^ Rezakhani, Khodadad (15 March 2017). ReOrienting the Sasanians: East Iran in Late Antiquity. Edinburgh University Press. p. 124. ISBN 978-1-4744-0030-5.
  14. ^ "A Silk Road Renaissance - Archaeology Magazine".
  15. ^ The Hephthalites: Archaeological And Historical Analysis by Aydogdy Kurbanov, page 60/ digital page 65 -
  16. ^ a b c d e Bakker, Hans T. (12 March 2020). The Alkhan: A Hunnic People in South Asia. Barkhuis. pp. 17, 46 Note 11. ISBN 978-94-93194-00-7.
  17. ^ ALRAM, MICHAEL (2014). "From the Sasanians to the Huns New Numismatic Evidence from the Hindu Kush". The Numismatic Chronicle. 174: 274. ISSN 0078-2696. JSTOR 44710198.
  18. ^ Tiesler, Vera (Autonomous University of Yucatan) (1999). Head Shaping and Dental Decoration Among the Ancient Maya: Archeological and Cultural Aspects (PDF). 64th Meeting of the Society of American Archaeology. Chicago, IL, USA. pp. 1–6. Retrieved 1 August 2015.
  19. ^ Tiesler, Vera (2012). "Studying cranial vault modifications in ancient Mesoamerica". Journal of Anthropological Sciences. 90: 1–26.
  20. ^ Tiesler, Vera & Ruth Benítez (2001). "Head shaping and dental decoration: Two biocultural attributes of cultural integration and social distinction among the Ancient Maya," American Journal of Physical Anthropology, Annual Meeting Supplement, 32, p. 149". {{cite journal}}: Cite journal requires |journal= (help)
  21. ^ Elliott Shaw, 2015, "Choctaw Religion," at Overview Of World Religions, Carlisle, CMA, GBR: University of Cumbria Department of Religion and Ethics, see [5], accessed 1 August 2015.
  22. ^ Hudson, Charles (1976). The Southeastern Indians. University of Tennessee Press. p. 31.
  23. ^ Schaffer, W. C.; Carr, R. S.; Day, J. S.; Pateman, M. P. (2010). "Lucayan–Taíno burials from Preacher's cave, Eleuthera, Bahamas - Schaffer". International Journal of Osteoarchaeology. 22: 45–69. doi:10.1002/oa.1180.
  24. ^ a b Clark, Jamie L. (2013). "The Distribution and Cultural Context of Artificial Cranial Modification in the Central and Southern Philippines". Asian Perspectives. 52 (1): 28–42. doi:10.1353/asi.2013.0003. S2CID 53623866.
  25. ^ a b c Scott, William Henry (1994). Barangay: Sixteenth-century Philippine Culture and Society. Ateneo University Press. p. 22. ISBN 9789715501354.
  26. ^ Ratzel, Friedrich (1896). "The History of Mankind". MacMillan, London. Archived from the original on 6 July 2011. Retrieved 4 October 2009.
  27. ^ a b c d Eric John Dingwall, Eric John (1931) "Later artificial cranial deformation in Europe (Ch. 2)," in Artificial Cranial Deformation: A Contribution to the Study of Ethnic Mutilations, pp. 46-80, London, GBR:Bale, Sons & Danielsson, see "Chapter 2" (PDF). Archived from the original (PDF) on 2014-09-12. Retrieved 2014-02-20.[page needed] and [6][page needed], both accessed 1 August 2015.
  28. ^ Delaire, MMJ; Billet, J (1964). "Considérations sur les déformations crâniennes intentionnelles". Rev Stomatol. 69: 535–541.
  29. ^ Janot, F; Strazielle, C; Awazu Pereira, Da Silva; Cussenot, O (1993). "Adaptation of facial architecture in the Toulouse deformity". Surgical and Radiologic Anatomy. 15 (1): 75–6. doi:10.1007/BF01629867. PMID 8488439. S2CID 9347535.
  30. ^ Trinkaus, 1982.[full citation needed]
  31. ^ Anton and Weinstein, 1999.[full citation needed]
  32. ^ a b Hoshower et al., 1995.[full citation needed]
  33. ^ E. V. Zhirov (1941).[full citation needed]
  34. ^ a b Gerszten and Gerszten, 1995.[full citation needed]
  35. ^ Tubbs, Salter, and Oaks, 2006.[full citation needed]
  36. ^ Colin Barras (13 October 2014). "Why early humans reshaped their children's skulls". BBC Earth. Retrieved 15 May 2015.
  37. ^ Rivero and Tschudi (1852) Antigüedades peruanas (Peruvian Antiquities), issue 1851/1852.
  38. ^ Bellamy, P. F. (1842) "A brief Account of two Peruvian Mummies in the Museum of the Devon and Cornwall Natural History Society, in Annals and Magazine of Natural History, X (October).[7]
  39. ^ P. F. Bellamy: A brief Account of two Peruvian Mummies in the Museum of the Devon and Cornwall Natural History Society. In: The Annals and Magazine of Natural History. Bd. 10, No. 63, 1842, p.p 95–100.
  40. ^ Martin Frieß; Michel Baylac (2003). "Exploring artificial cranial deformation using elliptic Fourier analysis of procrustes aligned outlines". American Journal of Physical Anthropology. 122 (1): 11–22. doi:10.1002/ajpa.10286. PMID 12923900.

Further readingEdit

  • Trinkaus, Erik (1982). The Shanidar Neandertals. New York, NY, USA: Academic Press.
  • Tiesler, Vera (2013) The Bioarchaeology of Artificial Cranial Modifications: New Approaches to Head Shaping and its Meanings in Pre-Columbian Mesoamerica and Beyond [Vol. 7, Springer Interdisciplinary Contributions to Archaeology], Berlin, NY, USA:Springer Science & Business, ISBN 1461487609, see [8], accessed 1 August 2015.
  • FitzSimmons, Ellen; Jack H. Prost & Sharon Peniston (1998) "Infant Head Molding, A Cultural Practice," Arch. Fam. Med., 7 (January/February).
  • Adebonojo, F. O. (1991). "Infant head shaping". J. Am. Med. Assoc. 265 (9): 1179. doi:10.1001/jama.265.9.1179. PMID 1996005.
  • Henshen, F. (1966) The Human Skull: A Cultural History, New York, NY, USA: Frederick A. Praeger.

External linksEdit