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Background/Objectives: The frontal sinus exhibits individual morphological variability that may support human identification. Its development progresses through childhood and adolescence and stabilizes in early adulthood, with age-related changes potentially affecting radiological comparisons. This study presents a forensic case report and discusses it in light of the literature on frontal sinus development and forensic identification. Methods: A comparative radiological analysis was conducted using images obtained at two distinct stages of biological maturation (14 and 21 years of age). Manual delineation combined with semi-automated computational analysis was applied to assess morphological features of the frontal sinus, including contour configuration, lobulation, and dimensional parameters. Results: The intra vitam record was obtained at 14 years of age, during an active developmental phase, and the post mortem examination was obtained at 21 years, corresponding to early adulthood. Comparative analysis revealed significant morphological differences, including increased lobulation, contour complexity, and sinus expansion. These changes limited the reliability of frontal sinus morphology for identification in this case. Friction ridge examination independently established positive identification. Conclusions: This study highlights the limitations of frontal sinus analysis when applied across periods of active development and underscores the risk of misinterpretation if age-related changes are not adequately considered.
Lemos et al. (Sat,) studied this question.