ARTICLES
Holes in the Head: Evolutionary Interpretations of
the Paranasal Sinuses in Catarrhines
TODD C. RAE AND THOMAS KOPPE
Paranasal sinuses are hollow
spaces in the facial skeleton that are
partially separated by bone from the
nasal cavity proper (Fig. 1). They
arise from the cartilaginous nasal
capsule during growth of the face;
each sinus starts as a outpocketing
of the nasal cavity lining, or epithe-
lium, that invades the surrounding
bone by resorption.
3
Although
named for the principal bone in
which they are found in humans, the
four mammalian sinuses, maxillary,
sphenoidal, ethmoidal, and frontal,
are anatomically delineated by the
position of their opening, or ostium,
within the nasal cavity.
2,4,5
Historically, there is disagreement
over who first alerted the scientific
world to the presence of paranasal
pneumatization. It was once widely
held that Galen, a second-century
philosopher and doctor to the Ro-
man Emperor Marcus Aurelius, dis-
covered these unique hollows in the
bones of the cranium.
6
Indeed, even
Hippocrates is cited as expressing
his opinion on craniofacial pneuma-
tization.
7
However, the earliest di-
rect evidence of scientific interest in
paranasal sinuses is found in the
notebooks of Leonardo da Vinci,
8
one of which contains a drawing of a
sagitally and coronally sectioned hu-
man skull with the frontal and max-
illary sinuses exposed (see cover).
The study of the paranasal sinuses
is hampered by the fact that they are
hollow structures; in essence, they
are a lack of bone. In addition, their
location inside the cranium raises a
host of difficulties. As da Vinci
found, often the best way to examine
sinuses is to section the cranium.
Indeed, until recently, most of the
major work on cranial pneumatiza-
tion was based either on casting, in
which the sinus is filled with a resis-
tant substance and the surrounding
bone is destroyed, or on dissection.
Although a few studies of primate
cranial pneumatization relied on
flat-plane x-ray examination,
9,10
it
was not until computed tomography
(CT) imaging techniques achieved
widespread availability that com-
mensurate attention began to be
paid to this important aspect of cra-
nial anatomy.
11
CT imaging and the
three-dimensional virtual recon-
structions that can be generated
from CT data (Fig. 2) revolutionized
the study of internal cranial struc-
tures in primates.
11–16
This nonde-
structive, noninvasive technique al-
lows detailed data on cranial
pneumatization to be obtained eas-
ily, even from fossils in which the
internal cavities are filled with ma-
trix.
17
As a result, new discoveries
about the evolution, growth, devel-
opment, and possible functions of
the paranasal sinuses in primates
have increased noticeably in the last
decade.
EVOLUTION
Based on the work of a few pio-
neers, in particular Seydel,
18
Paulli,
4
and Cave and colleagues,
5,19
by the
middle of the twentieth century a
basic outline of paranasal sinus dis-
tribution in catarrhine primates had
been enunciated (Fig. 3): Maxillary
and sphenoidal sinuses are present
in all hominoids, ethmoidal and
frontal sinuses are seen only in Afri-
can apes (here and throughout, in-
cluding humans), and paranasal
pneumatization is completely lack-
ing in most cercopithecoid mon-
keys,
4,20,21
with the exception of ma-
Todd C. Rae is a member of the Evolu-
tionary Anthropology Research Group
and a Lecturer in the Department of An-
thropology at the University of Durham,
UK. He has investigated craniofacial mor-
phology, paleoprimatology, and the the-
ory and method of phylogenetic system-
atics. E-mail: t.c.rae@durham.ac.uk
Thomas Koppe is an Oberassistent of the
Institute of Anatomy at the Ernst Moritz
Arndt University, Greifswald, Germany.
His main interests are the growth and
development of cranial pneumatization in
mammals and the application of com-
puted tomography to morphological
problems. E-mail: thokoppe@uni-greif-
swald.de
© 2004 Wiley-Liss, Inc.
DOI 10.1002/evan.20036
Published online in Wiley InterScience
(www.interscience.wiley.com).
Everyone who has ever experienced a head cold is familiar with the paranasal
sinuses, the bony hollows above and beside the nasal cavity that contribute,
sometimes painfully, to upper respiratory tract disorders. These internal cranial
structures have a wide distribution among eutherian mammals and archosaurs.
1,2
Sinuses have languished somewhat in the shadow of their better known and more
accessible morphological cousins (dentition, postcrania), but new imaging tech-
niques, growth studies, and explicit phylogenetic evaluation
3
are beginning to fill in
the gaps in our knowledge of the evolution of these enigmatic spaces in primates
and promise to yield insights into the evolution of the facial skeleton.
Evolutionary Anthropology 13:211–223 (2004)