Although the sphenoid sinuses can be identified in sections of the fet
us at 4 months, at birth the sinus remains small and is little more th
an an evagination of the sphenoethmoid recess. After the 3rd year, inv
asion of the sphenoid bone is more rapid, and by the age of 7, the sin
us has extended posteriorly to the level of the sella turcica. By the
age of 12, the sphenoid pneumatization reaches its final form and a si
ze equivalent to the adult, although further enlargement into the basi
sphenoid may occur in the adult. Agenesis of paranasal sinuses is an u
ncommon clinical sign and refers mainly to the frontal and secondarily
to the maxillary sinuses. Agenesis of sphenoid sinuses is a very rare
phenomenon in the literature. We present a 32-year-old male patient w
ith agenesis of sphenoid sinuses that was studied by CT.