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The authors present the embryology and comparative anatomy of the frontal sinuses pertinent to a discussion of the systemic factors which influence frontal sinus pneumatization. There are at least three important factors involved: 1) craniofacial configuration, 2) thickness of the frontal bone, 3) growth hormones. Various clinical entities which illustrate these points are discussed.
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Shapiro et al. (1980) studied this question.
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