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The frontal sinuses show the most anatomic variation such as congenital absence or hypoplasia (Fig. 1). The sphenoid sinuses, located posteriorly, form last. Anatomy of Sinuses-Artist's Rendition.

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Relatively minor swelling of the mucosa in the anterior ethmoid-middle meatal complex (osteomeatal complex) leads to frontal or maxillary sinus obstruction and secondary disease.

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