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How do the paranasal sinuses affect the weight of the skull and the sound of the voice?

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The suggestion that the paranasal sinuses significantly affect the weight of the skull or the sound of the voice is a common theory, but scientific evidence for these claims is currently lacking.1

While it has been proposed that the paranasal sinuses serve to lighten the skull and play a role in phonation, these functions remain unproven. In terms of voice production, individual vocal quality is primarily shaped by the configuration of the supraglottic structures—often referred to as the "inner face"—and the physiological flexibility of the vocal tract, rather than the resonance of the sinus cavities themselves.12