Many associations between adult oviraptorosaur skeletons or embryos with elongatoolithid eggs (including Macroolithus) demonstrate that Macroolithus and other elongatoolithids were laid by oviraptorosaurs. One oviraptorosaur skeleton from the Upper Cretaceous of China was described in 2005; two shelled elongatoolithid eggs were preserved inside of its pelvis. This suggests that oviraptorosaurs had two functional oviducts where both would produce eggs simultaneously. While Sato et al. did not refer the eggs specifically to Macroolithus, they noted that the eggs closely resemble M. yaotunensis, though with a thinner eggshell. The thin eggshell, however, could simply be because the shell had not finished forming when the mother died, or because of biochemical dissolution of the shell before fossilization.
Multiple different genera of oviraptorids have been found on or near elongatoolithid nests indicating that oviraptorid parents would brood on their eggs, most likely for extended periods of time. There is some evidence to suggest that oviraptorid and troodontid eggs were cared for by the father, perhaps in a polygamous system. Given the large size of eggs relative to the parent, a mother would only lay two eggs at a time, so the eggs of a single nest may have been contributed by multiple females.
Three more eggs containing embryos from the same formation were described in 2016 by Wang et al. Though they noted that these eggs strongly resemble M. yaotunensis, they declined to refer them to any ootaxon lower than Elongatoolithidae because Macroolithus is not clearly defined and is in need of revision. The embryos within these eggs are some of the most well-preserved of any oviraptorids, providing new information on oviraptorid ontogeny. The specimens show a relatively shallow head which indicates that as oviraptorids matured, their skulls grew dorsoventrally (top-to-bottom) faster than anteroposteriorly (front-to-back). This growth pattern is unusual among theropods, but is also seen in derived ("advanced") tyrannosaurids. Also unusual is that, even at this early stage of development, the nasal bones are fused. Coincidentally, tyrannosaurids also show fusion of the nasals early in development.
In 1991, the Russian paleontologist Konstantin Mikhailov introduced the modern classification of fossil eggs based on Zhao's parataxonomic naming system. He classified "O." carlylensis in the oofamily Spheroolithidae, but otherwise followed Zhao's 1975 classification of Macroolithus. In 1994 he named M. mutabilis, a new oospecies of Macroolithus, based on remains discovered in Mongolia.
The extinctions of Macroolithus and other eggs from Southern China have also had a history of different interpretations. In the 1990s, Chinese paleontologists, including the prominent egg specialist Zhao Zikui, observed a gradual reduction in dinosaur egg diversity during the final 200,000 to 300,000 years of the Cretaceous, with only Macroolithus ranging up to the boundary. They postulated, contrary to the impact hypothesis, that the extinction was the result of a prolonged drought that increased the concentration of trace heavy metals, which adversely affected eggshell and embryo development of the dinosaurs causing the population to gradually decline and collapse. Zhao et al. revised this hypothesis in 2002, postulating a gradual extinction of Macroolithus caused by the volcanism of the Deccan Traps. In 2004, Buck et al. disputed this interpretation, arguing that the apparent gradual extinction was an illusion caused by reworking of sediments. Zhao et al. (2009) maintained that the extinction event was gradual.
The Nanxiong Basin is known for its abundance of fossil eggs, predominantly the oviraptorisaurian eggs Elongatoolithus and Macroolithus. Other types of eggs include other elongatoolithids, as well as prismatoolithids, megaloolithids, and ovaloolithids. Footprints show that Nanxiong Basin was populated by ornithopods, theropods, and possibly sauropods.
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