Related Experiment Video
Updated: Nov 6, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Paranasal sinus development and implications for imaging
Adam E Goldman-Yassen1, Karthik Meda2, Nadja Kadom3
1Department of Radiology, Children's Healthcare of Atlanta, 1405 Clifton Road NE, Atlanta, GA, 30322, USA. adgoldmanyassen@gmail.com.
Insights
Pediatric radiologists must understand paranasal sinus development to accurately interpret imaging. This guide details normal sinus growth stages and anatomical variations in children for precise diagnosis.
Area of Science:
- Radiology
- Pediatric Imaging
- Anatomy
Background:
- Paranasal sinuses exhibit significant anatomical variation during childhood development.
- Accurate interpretation of pediatric sinus imaging requires knowledge of normal growth stages.
- Differentiating normal development from abnormalities is crucial for diagnosis.
Purpose of the Study:
- To review paranasal sinus anatomy and development in children.
- To provide a practical guide for assessing normal paranasal sinuses in pediatric patients.
- To aid pediatric radiologists in accurate diagnostic imaging interpretation.
Main Methods:
- Review of paranasal sinus anatomy and developmental mechanisms.
- Discussion of imaging implications based on sinus growth stages.
- Development of a practical guide for assessing normal pediatric paranasal sinuses.
Main Results:
- Paranasal sinus development continues throughout childhood, leading to anatomical variations.
- Understanding developmental stages is key to distinguishing normal from abnormal sinus findings.
- The guide correlates sinus appearance with anatomical landmarks at different pediatric ages.
Conclusions:
- Knowledge of paranasal sinus development is essential for pediatric radiologists.
- Accurate assessment of pediatric sinus imaging relies on understanding normal growth patterns.
- This review and guide enhance diagnostic accuracy in pediatric paranasal sinus imaging.
Abstract:
Because the paranasal sinuses continue to develop throughout childhood, radiologists encounter significant anatomical variation when confronted with pediatric imaging studies. Knowledge of the stages of sinus growth is vital to differentiate normal development from abnormally large, hypoplastic or malformed sinuses. Understanding how the paranasal sinuses develop and their expected appearance at different patient ages is important for accurate interpretation of diagnostic imaging. To that end, we provide a brief review of paranasal sinus anatomy and discuss the mechanisms by which each paranasal sinus develops, as well as the implications for imaging. We also provide a practical guide for assessing normal paranasal sinuses in children based on the relationship of the sinuses to anatomical landmarks at various stages of development in order to help pediatric radiologists provide accurate interpretation of diagnostic imaging.
Related Concept Videos
Cranial Bones: Lateral View
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
Anatomy of Respiratory System I: Upper Respiratory Tract
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
Nose and Nasal Cavity
Cranial Bones: Superior and Posterior View
The frontal bone is the single bone that forms the forehead. At its anterior midline, between the eyebrows, there is a slight depression called the glabella. The frontal bone also forms the supraorbital margin of the orbit. Near the middle of this margin is the supraorbital foramen, the opening that provides passage for a sensory nerve to the forehead. The frontal bone is thickened just above each supraorbital margin,...
