Artificial cranial deformation

In the Old World, 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.[8]

Legendary Iranian king Rostam, depicted in this 7th century CE mural at Panjikent, Sogdia, with an elongated skull in the fashion of the Alchon Huns[9][10][11]

Alchon kings are generally recognized by their elongated skulls, a result of artificial skull deformation.[12] 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 appear clearly in most of the portraits of rulers in the coinage of the Alchon Huns, and most visibly on the coinage of Khingila.[12] These elongated skulls, which they obviously displayed with pride, distinguished them from other peoples, such as their predecessors the Kidarites.[12] On their coins, the spectacular skulls came to replace the Sasanian-type crowns which had been current in the coinage of the region.[12] 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.[12][13]

In the Pontic steppe and the rest of Europe the Huns, including the Proto-Bulgarians,[14] are also known to have practised similar cranial deformation,[15] as were the people known as the Alans.[16] 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,[17] this custom seems to have comprised women only.[18] In western Germanic tribes, artificial skull deformations rarely have been found.[19]

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  Elongated skull of a young woman, probably an Alan
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  Landesmuseum Württemberg deformed skull, early 6th century Alemannic culture
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  Deformed skulls, Afrasiab, Samarkand, Sogdia, 600–800 CE

Deliberate deformity of the skull, "Toulouse deformity", France

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 amongst the Sámi people.[20]^: 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.[20]^: 51 In the region of Toulouse (France), these cranial deformations persisted sporadically up until the early twentieth century;[21][22] however, rather than being intentionally produced as with some earlier European cultures, Toulousian deformations 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.[20]

In the Americas, the Maya,[23][24][25] 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. Contrary to common belief, there is no evidence that the Native American group known as the Flathead Indians engaged in this practice. Other tribes, including both Southeastern tribes like the Choctaw[26][27] and Northwestern tribes like the Chehalis and Nooksack Indians, practiced head flattening by strapping the infant's head to a cradleboard.

The practice of cranial deformation was also practiced by the Lucayan people of the Bahamas and the Taínos of the Caribbean.[28]

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  Proto Nazca deformed skull, c. 200–100 BCE
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  A deformed female human skull in Olmec and Gulf Coast Gallery, in the National Museum of Anthropology (Mexico)
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  Tiwanaku skull from Bolivia, on display in the Horniman Museum, London

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.[29] 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.[30]

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.[29]

People with 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.[30]

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.[30]

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.[31]

It was also practiced at least into the 1930s on the island of New Britain in the Bismarck Archipelago of Papua New Guinea.[32]

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.

On the southern Japanese island of Tanegashima, from the third century to the seventh century, a group potentially bound the skulls of babies to flatten the back of the skull, possibly as an expression of group identity to facilitate the trade of shell goods. [33]

Cranial deformation was also practiced in the Neolithic period at the Houtaomuga Site in Northeast China.[34] Most had fronto-occipital modification, but there were other types of modification discovered, also. It was found that the practice had been practiced for thousands of years, some skulls being much older than others.