The Anatomy of the Sphenoid Bone (2023)

An unpaired bone located in the cranium (or skull), the sphenoid bone, also known as the “wasp bone,” is located in the middle and toward the front of the skull, just in front of the occipital bone.

The sphenoid bone is one of the seven bones that make up the orbit (the space that holds the eyeball), and helps make up the floor of the middle cranial fossa, the butterfly-shaped depression at the base of the skull that houses the temporal lobesof the cerebellum.

A central bone within the skull, it has a very complex shape, with a body and two sets of wings—the lesser and greater wings—as well as two pterygoid processes (protrusions that descend from where the wings meet the body).

Disorders or problems of the sphenoid bone can lead to a number of issues, including sphenoid sinusitis (an infection of the sphenoid sinuses), fractures, or sphenoid wing dysplasia—a malformation or deficiency due to a condition called neurofibromatosis type 1.

The Anatomy of the Sphenoid Bone (1)



The sphenoid bone has a butterfly-like structure, with four major components—body, lesser wings, greater wings, and pterygoid processes.


Located in a central portion that runs along the midline, the body of the sphenoid bone rests between the wings and forms several important structures. The front-facing portion helps make up the nasal cavity, while its sides contribute to the formation of the optic canal, a tunnel that allows the optic nerve and ophthalmic artery to pass through.

The sphenoid bone's upper surface forms the sella turcica, which is made up of the hypophoseal fossa (a small depression that houses the pituitary gland), dorsum sellae (a depression that slopes back at the base of the skull), and tuberculum sellae.

The sella turcica is surrounded by two anterior clinoid processes and two bony protrusions (one on each side), while at its rear are two other eminences called the posterior clinoid processes. These deepen the sella turcica and are attached to the tentorium cerebelli, a portion of the dura mater of the brain.

Lesser Wings

Rising from the front of the body of the sphenoid bone and moving off to the sides, the two paired lesser wings are triangular in shape. Their lower borders help make up part of the orbits (which house the eyes), while the upper surface makes up a portion of the cranial cavity, which houses parts of the brain.

Greater Wings

Emerging behind the lesser wings and also running to the sides are the two greater wings, which are also triangular and run lateral to the body. Their sides make up the infratemporal surfaces, which are convex in shape, and move backward and to the sides. These form parts of the infratemporal fossa, which are gaps at the base of the skull that allow nerves and blood vessels to pass through.

The front portions of the greater wings help form the sidewalls of the orbit. Each wing contains three openings—the foramen rotundum, foramen ovale, and foramen spinosum—which allow important nerves and vessels to pass through. The maxillary nerve, mandibular nerve, and middle meningeal vessels, respectively, pass through these openings.

Significantly, the superior orbital fissure, a large gap that allows nerves associated with vision to pass through, is at the border of the body and the lesser and greater wings.

Pterygoid Processes

Essentially extensions of the body of the sphenoid bone, the pterygoid processes consist of two protrusions emerging from the back of the body and continuing downward. These include two canals—the pterygoid and the palatovaginal canals, which allow nerves to pass through—and each has a hamulus, or a smaller, hook-like projection.


The sphenoid bone rests in the central portion of the skull along its midline, separating the frontal bone (the forehead bone) from the occipital bone, a trapezoidal bone that makes up the lower back of the skull.

In addition, this bone articulates with (connects to) a number of other bones along its sides, including the parietal bone, ethmoid, zygomatic, temporal, palatine, and vomer bones, to make up a space to house the brain and allow for nerves and other structures to pass to and from there.

Largely, the sphenoid bone represents the floor of the skull.

Anatomical Variations

Given the complexity of this bone, it’s little wonder that there are a number of congenital variations in its anatomy. These can be divided into pneumatization (the presence of holes in the bones) and protrusion (extension of the bone), and include the following.

  • Pterygoid process pneumatization: In 15.5% to 43% of cases, healthcare providers have found pneumatization—that is, the presence of small holes—in the pterygoid process. This can occur on one side (unilaterally) or on both sides (bilaterally).
  • Anterior clinoid process pneumatization: The formation of holes has also been observed in the anterior clinoid process, which is located toward the back of the body of the sphenoid bone. As with the pterygoid process, this is seen either unilaterally or bilaterally, and has been found to occur in about 13% to 16% of people.
  • Foramen rotundum protrusion: Extensions of extraneous bone into the foramen rotundum have been reported in approximately 17.5% of cases. As with some other variations, this can occur unilaterally or bilaterally.
  • Internal carotid artery (ICA) protrusion: The ICA, a paired artery that runs up the sides of the neck and accesses the skull, has been observed to protrude into the sphenoid sinus and related areas. This has been reported in 12.75% of cases.
  • Pterygoid canal protrusion: Sometimes, small protrusions arise from the pterygoid processes into the pterygoid canal. This has been reported to occur in between 7.5% and 13% of people.


Working in concert with the orbital floor, the primary function of the sphenoid bone is to help form the base and sides of the skull. Portions of this bone are also components of the facial skeleton.

Its central position within this part of the body makes it essential for providing rigidity—thereby protecting brain and nerve structures—while its rear parts are also attachment sites for muscles involved with chewing and talking.

Notably, too, the foramina (gaps) and the fissures of the sphenoid bone allow passage of important nerves and vessels in and out of the skull. Furthermore, a cavity in its body forms a sinus (called a sphenoid sinus) that connects to the nasal cavity; this allows the skull to be lighter and improves resonance.

Associated Conditions

There are several conditions that can affect the sphenoid bone; given its significance, these can have significant complications. Associated conditions include those below.

Sphenoid Sinusitis

Infection of the sphenoid sinuses can become a serious problem, and this can lead to either acute or chronic sphenoid sinusitis. Usually occurring alongside infection in surrounding areas, this condition can lead to fever, post-nasal drip, and weakness.

Seeking out prompt treatment is essential, since, if the infection is allowed to run its course, patients may develop severe issues, such as meningitis, brain abscess, and/or problems with cranial nerves.

What Is a Sinus Infection?

Sphenoid Fractures

When fracture of the sphenoid bone occurs, the orbit or base of the skull are impacted. Given its function, this can lead to numerous dangerous complications, including damage to cranial nerves and eyes as well as loss of color vision.

Battle sign (a bruise on the face that’s a sign of skull fracture), hemotympanum (blood in the middle ear), and/or cranial nerve palsy (decreased or complete loss of cranial nerve function) are all signs of this condition, which is considered a medical emergency.

Sphenoid Wing Dysplasia

In patients with a condition called neurofibromatosis type 1 (characterized by discoloration of the skin as well as the development of tumors in the skin, brain, and other parts of the body), the sphenoid wings can become malformed due to improper cellular development. This can lead to a wide range of symptoms, eventually leading to blindness if untreated.

Neurofibromatosis Type 1 Symptoms and Treatments

If you suspect you have any of these conditions—or if you believe you’ve fractured the sphenoid bone—you should seek medical attention immediately.


Given the severity of the above-mentioned conditions, treatment needs to be timely and efficient. Luckily, today healthcare providers are better able than ever before to take on issues of the sphenoid bone.

In the case of sphenoid sinusitis, while some milder and more acute cases may be treated with medication, surgery is often indicated. The primary approach is a procedure called endoscopic transnasal sphenoidotomy, which entails surgically accessing the sphenoid sinus, widening it, and then removing infected portions.

In the case of fractures of the sphenoid bone, much depends on the severity of the case. While certain kinds of sinus fracture can be handled more conservatively (essentially, prescribing medications to reduce pain and inflammation and ensure healing occurs properly), sphenoid fractures will typically require surgery to repair. This is because of the presence of essential nerve and vessel structures in this area.

Sphenoid wing dysplasia due to neurofibromatosis type 1 will also require surgical treatment, especially given how severe this condition can become. Surgery is rather complex and varies; however, a popular approach involves draining excess fluid to ease pressure, locating the area (or areas) of defect, and using a specialized titanium mesh, bone cement, or bone graft to reinforce the problematic area.

In these conditions, timely treatment is essential for success. Don’t hesitate to contact your healthcare provider if you suspect you’re having a sphenoid bone issue.


What is sphenoid bone anatomy? ›

The sphenoid is just one of the twenty-two bones that form the skull and essentially helps to connect the neurocranium to the facial skeleton. It is a single bone in the midline of the cranial cavity situated posterior to the frontal bone but anterior to the occipital.

What bones make up the sphenoid? ›

The articulations of the sphenoid are with the frontal, parietal, ethmoid, zygomatic, temporal, occipital, palatine, and vomer bones. There may be several morphological variations in the relationship between the sphenoid, the ethmoid, and the frontal bone.

How do you remember the sphenoid bone? ›

Many people think that it looks like a butterfly or bat, but it also looks like a specter (ghost). That's how you can remember this cranial bone: the sphenoid is the specter that spans the cranium!

What makes the sphenoid bone different? ›

The sphenoid bone has articulations with twelve other paired and unpaired bones – this makes it the most complex bone in the human body. While the sphenoid bone is unpaired, it stretches from one side of the skull to the other.

What is the sphenoid bone Milady? ›

Sphenoid bone. Joins all of the bones of the cranium together. Ethmoid bone. Light spongy bone between the eye sockets and forms part of the nasal cavities.

What type of bone is the sphenoid bone quizlet? ›

a compound bone that forms the base of the cranium, behind the eye and below the front part of the brain. It has two pairs of broad lateral "wings" and a number of other projections, and contains two air-filled sinuses.

How many bones does the sphenoid bone touch? ›

The sphenoid articulates with 12 bones: frontal. occipital.

In which of the 4 parts of the sphenoid bone is the optic canal found? ›

The optic canal is a funnel-like structure as part of the sphenoid bone that extends from the optic foramen to the orbital apex, the posterior-most end of the orbit.

What is the function of the sphenoid sinus? ›

There are two large sphenoid sinuses in the sphenoid bone, which is behind the nose between the eyes. The sphenoid sinuses are lined with cells that make mucus to keep the nose from drying out.

Why is the sphenoid bone a tricky bone to learn? ›

The sphenoid bone is extremely complex! It extends all the way from one side of the skull to the other. The sphenoid bone forms important parts of the underside, and outside of the skull; and it forms part of the orbit. The sphenoid bone also forms this large and complicated part of the floor of the cranium.

How does the sphenoid bone move? ›

With each breath we take, the nasal conchae fill up with air, which applies pressure on the anterior portion of the sphenoid bone and the sphenoidal sinus where it contacts the basilar portion of the occiput bone. This pressure causes the spheno-basilar junction to move slightly posterior and inferior.

Why does the sphenoid bone have so many holes? ›

Notably, too, the foramina (gaps) and the fissures of the sphenoid bone allow passage of important nerves and vessels in and out of the skull. Furthermore, a cavity in its body forms a sinus (called a sphenoid sinus) that connects to the nasal cavity; this allows the skull to be lighter and improves resonance.

Why is the sphenoid unique? ›

What is unique about the sphenoid bone? A butterfly shape is unique to the sphenoid bone. The bone contains a central body, a lesser and greater wing, and a pterygoid process.

Which of the following structures is part of the sphenoid bone quizlet? ›

Which of the following structures is part of the sphenoid bone? The lateral pterygoid plate is part of the sphenoid bone.

Why can the sphenoid be called? ›

The sphenoid bone has been called the 'keystone' of the cranial floor because it is in contact with all of the other cranial bones.

Is the sphenoid bone part of the skull base? ›

The 5 bones that make up the skull base are the ethmoid, sphenoid, occipital, paired frontal, and paired temporal bones. The skull base can be subdivided into 3 regions: the anterior, middle, and posterior cranial fossae.

Is the sphenoid bone flat or irregular? ›

Explanation: The scapula is the only bone listed that is a flat bone. The ulna is a long bone, the sphenoid is an irregular bone, and the patella is a sesamoid bone.

How many sphenoid bones are found within the skull quizlet? ›


Which parts of sphenoid bone are visible in the anterior view of skull? ›

The sphenoid bone is a singular and key bone in the skull having many foramina and fissures and articulations with several other bones. In this anterior view, the lesser wings are separated from the greater wings by the superior orbital fissure.

What is the sphenoid sinus connected to? ›

The sphenoid sinus drains into the nose above the superior turbinate. The lateral wall of the sphenoid sinus contains the medial wall of the optic canal and the internal carotid artery. Because of this close anatomic relationship, sphenoid sinusitis may cause damage to the optic nerve.

What is the hardest strongest part of bone? ›

The thigh bone is called a femur and not only is it the strongest bone in the body, it is also the longest. Because the femur is so strong, it takes a large force to break or fracture it – usually a car accident or a fall from high up. To fix it properly requires an operation.

What is the hardest part of the skull? ›

The petrous portion is among the most basal elements of the skull and forms part of the endocranium. Petrous comes from the Latin word petrosus, meaning "stone-like, hard". It is one of the densest bones in the body.

What is sphenoid and ethmoid bone? ›

The ethmoid articulates with thirteen bones: two bones of the neurocranium—the frontal, and the sphenoid (at the sphenoidal body and at the sphenoidal conchae). eleven bones of the viscerocranium—, two nasal bones, two maxillae, two lacrimals, two palatines, two inferior nasal conchae, and the vomer.

Is the sphenoid bone your temple? ›

The temple is a latch where four skull bones fuse: the frontal, parietal, temporal, and sphenoid. It is located on the side of the head behind the eye between the forehead and the ear.

What does sphenoid bone mean in Latin? ›

From New Latin sphenoides, from Ancient Greek σφηνοειδής (sphēnoeidḗs, “wedge-shaped”), from σφήν (sphḗn, “wedge”) +‎ -ειδής (-eidḗs, “-form, -like”).

Does the sphenoid bone move? ›

On expiration, the spheno-basilar articulation relaxes as the pressure created by the inhaled air is exhaled. This release of pressure causes the spheno-basilar junction to move slightly anterior and superior. These movements of the spheno-basilar junction are believed to drive the cranial-sacral rhythm.

What is sphenoid in medical terminology? ›

(SFEE-noyd bone) A butterfly-shaped bone at the base of the skull, behind the nose. The sphenoid bone helps form the eye socket. It contains two large sinuses, which are hollow spaces lined with cells that make mucus to keep the inside of the nose from drying out.

What bone looks like a butterfly? ›

– The Sphenoid bone (os sphenoidale; Gr., sphen – wedge + eidos – form) is a butterfly-shaped cranial bone that is located in the middle of the skull between the frontal and temporal bones.


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