The human skull contains a series of hollow, air-filled spaces known as the paranasal sinuses. These cavities are not a single open chamber but a complex system of paired spaces situated within the bones of the face and head. They are directly connected to the nasal cavity, forming part of the upper respiratory system. The sinuses are lined with a thin layer of specialized tissue called mucosa, which produces moisture and helps to maintain a clear internal environment.
Mapping the Four Major Sinus Pairs
There are four distinct pairs of sinuses, named for the bones that house them. The frontal sinuses are situated in the forehead area, positioned just above the eyebrows. They are typically triangular in shape and vary in size between individuals.
The maxillary sinuses represent the largest pair and are located within the cheekbones, specifically beneath the eyes on either side of the nose. These cavities fill the upper jaw bone. Deeper within the structure of the face are the ethmoid sinuses, which are a collection of numerous small air cells situated between the eyes, right behind the bridge of the nose. The sphenoid sinuses are the deepest pair, located behind the eyes within the sphenoid bone at the base of the skull.
The Essential Roles of Sinus Cavities
The paranasal sinuses perform multiple physiological tasks. One primary function is to condition the air that is inhaled before it reaches the lungs. The mucosal lining helps to warm and humidify the incoming air, transforming cold, dry air into a more suitable temperature.
The air-filled nature of these cavities also serves to reduce the overall mass of the skull. The sinuses further contribute to the sound of a person’s voice by acting as resonance chambers, influencing vocal tone and quality.
These internal structures also play a protective role. They can act as a kind of crumple zone, absorbing impact and safeguarding delicate structures, such as the eyes and brain. Additionally, the continuous production of mucus traps microscopic foreign particles, helping to clear the nasal passages of germs and allergens.
Signs That Your Sinuses Are Blocked
When the sinus system is disrupted by inflammation, the resulting blockage leads to a recognizable set of symptoms. One of the most common signs is facial pain and pressure, which typically corresponds to the location of the affected cavities.
Inflammation causes the lining of the sinuses to swell, preventing the normal drainage of mucus. This obstruction results in nasal congestion, making it difficult to breathe through the nose. The buildup of fluid can also lead to thick, discolored discharge, known as postnasal drip.
A blocked pathway often results in a diminished sense of smell and taste. Other associated symptoms may include aching in the upper teeth or a feeling of pressure in the ears.

